| Dana Vanderwel, CRNA | |
|
1229 Madison St Ste 1440, Seattle, WA 98104-3538 | |
| (206) 625-0578 | |
| (206) 625-9184 |
| Full Name | Dana Vanderwel |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1229 Madison St Ste 1440, 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 |
|---|---|---|---|
| 1205252111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN654856 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60468835 (Washington) | Primary |
| Entity Name | Physicians Anesthesia Service Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417962200 PECOS PAC ID: 6901792365 Enrollment ID: O20040224000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Vanderwel, CRNA 1229 Madison St Ste 1440, Seattle, WA 98104-3538 Ph: (206) 625-0578 | Dana Vanderwel, CRNA 1229 Madison St Ste 1440, Seattle, WA 98104-3538 Ph: (206) 625-0578 |
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: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Vanessa Fernandez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-624-1144 |