| Connie J Alley, CRNA | |
|
1959 Ne Pacific St, Seattle, WA 98195-0001 | |
| (206) 598-4260 | |
| (206) 598-4260 |
| Full Name | Connie J Alley |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1959 Ne Pacific St, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225090400 | NPI | - | NPPES |
| 0201372 | Other | WA | LABOR & INDUSTRY |
| 53605U | Other | WA | REGENCE BLUESHIELD |
| 8926960 | Other | L & I CRIME VICTIMS | |
| 9614157 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN00093152 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP30005026 (Washington) | Primary |
| Entity Name | Mission Nursing Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20151130000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Connie J Alley, CRNA Po Box 24975, Seattle, WA 98124-0975 Ph: (425) 353-2840 | Connie J Alley, CRNA 1959 Ne Pacific St, Seattle, WA 98195-0001 Ph: (206) 598-4260 |
Timothy D Butterworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Mrs. Sara Beth Maples, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356540, Seattle, WA 98195 Phone: 206-598-4260 | |
Simran Kennedy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359724, Seattle, WA 98104 Phone: 206-744-8491 Fax: 206-744-8009 | |
Michael Mielniczek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Justin R. Howard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Peyton G. Lane, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Vanessa Fernandez, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-624-1144 |