| Ms Indra Johansson-matthews, CRNA | |
|
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
| (707) 571-4000 | |
| Not Available |
| Full Name | Ms Indra Johansson-matthews |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 401 Bicentennial Way, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033278858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1597 (California) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN366332 (California) | Secondary |
| Entity Name | Premier Anesthesia Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770691859 PECOS PAC ID: 5092897025 Enrollment ID: O20080130000444 |
| Entity Name | M Atchison Crna Inc A Professional Nursing Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073542213 PECOS PAC ID: 7416094461 Enrollment ID: O20091022000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Indra Johansson-matthews, CRNA 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 | Ms Indra Johansson-matthews, CRNA 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000 |
Delilah Patterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4616 | |
Mr. Dennis Eugene Oliver, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Kaiser Hospital, Santa Rosa, CA 95403 Phone: 707-571-4616 Fax: 707-571-3144 | |
Mr. Gregory Lorne Groeneveld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 170-571-4000 Fax: 707-836-0173 | |
Mr. Krishneel Lall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4000 | |
Mrs. Merri Beth Callender, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial, Kaiser, Santa Rosa, CA 95403 Phone: 707-571-4616 | |
Michael D Chevlen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 310-274-7515 |