| Ellen E Halley, CRNA | |
|
75-5905 Walua Rd Ste 4, Kailua Kona, HI 96740-5315 | |
| (808) 331-7960 | |
| (808) 331-0152 |
| Full Name | Ellen E Halley |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 75-5905 Walua Rd Ste 4, Kailua Kona, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609965680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30006232 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN-3985 (Hawaii) | Primary |
| Entity Name | Sight Partners Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376613075 PECOS PAC ID: 6002728532 Enrollment ID: O20031104000111 |
| Entity Name | Tri-state Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123 |
| Entity Name | Creative Anesthesia Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932381910 PECOS PAC ID: 2567424328 Enrollment ID: O20041103000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen E Halley, CRNA 122 N Raymond Rd, Suite 20, Spokane Valley, WA 99206-6832 Ph: (509) 926-1770 | Ellen E Halley, CRNA 75-5905 Walua Rd Ste 4, Kailua Kona, HI 96740-5315 Ph: (808) 331-7960 |
Miss Krista Anne Weber, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 75-5905 Walua Rd Ste 4, Kailua Kona, HI 96740 Phone: 808-331-7960 | |
Dawn M. B. Mccool, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 73-1296 Ilau St, Kailua Kona, HI 96740 Phone: 856-366-8404 Fax: 808-323-3478 | |
Karl Arn Jacobson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 75-5905 Walua Rd Ste 4, Kailua Kona, HI 96740 Phone: 808-331-7960 Fax: 808-331-0152 |