Medina, Joan Marie

Medina, Joan Marie is an sole proprietor health care provider with primary practice located at 1150 Veterans Blvd , Redwood City CA 94063-2037. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Medina, Joan Marie can be contacted via phone (650) 299-3142.

Contact Information

Primary practice address
1150 Veterans Blvd Redwood City CA 94063-2037
Phone: (650) 299-3142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 937 California

Profile Details

NPI number 1982760732
LBN Legal business name Medina, Joan Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Mar 28th, 2022 - about 2 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 1982760732 NPPES
California Other 937 NURSE ANESTHETIST CERTIFI

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