Idera, Michele

Idera, Michele is an individual health care provider with primary practice located at 207 W. Legion , Brawley CA 92227-7780. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Idera, Michele can be contacted via phone (760) 351-3333.

Contact Information

Primary practice address
207 W. Legion Brawley CA 92227-7780
Phone: (760) 351-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA2932 California

Profile Details

NPI number 1639154537
LBN Legal business name Idera, Michele
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Apr 23rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639154537 NPPES
California MEDICAID RN3489390

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