| Constance Susan Criswell, CRNA | |
|
1 Madrone St, Willits, CA 95490-4225 | |
| (707) 456-3171 | |
| Not Available |
| Full Name | Constance Susan Criswell |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 42 Years |
| Location | 1 Madrone St, Willits, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114905122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3189 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Willits Hospital Inc | 7416940697 | 55 |
| Entity Name | Willits Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
| Entity Name | Ukiah Adventist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235120676 PECOS PAC ID: 6406816123 Enrollment ID: O20041015000818 |
| Entity Name | Uap Sacramento, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245644863 PECOS PAC ID: 2860612330 Enrollment ID: O20141003002026 |
| Mailing Address | Practice Location Address |
|---|---|
| Constance Susan Criswell, CRNA 1 Madrone St, Willits, CA 95490-4225 Ph: (707) 456-3171 | Constance Susan Criswell, CRNA 1 Madrone St, Willits, CA 95490-4225 Ph: (707) 456-3171 |
Ms. Debra Jan Wold, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Madrone St, Willits, CA 95490 Phone: 707-456-3171 | |
Mr. Gregory Allan Niderost, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Madrone St, Willits, CA 95490 Phone: 707-456-3171 | |
Dr. Bradley Patrick, CRNA, DNP, MBA, MS Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Madrone St, Willits, CA 95490 Phone: 707-456-3100 |