| Kiersten Ashleigh De La Vega, RN | |
|
10325 Sw 20th St, Davie, FL 33324-7428 | |
| (954) 474-5577 | |
| Not Available |
| Full Name | Kiersten Ashleigh De La Vega |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 10325 Sw 20th St, Davie, Florida |
| 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 |
|---|---|---|---|
| 1922679554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9439898 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11024128 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tampa General Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf-to-bay Anesthesiology Associates Llc | 5092628156 | 275 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Anesco North Broward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699763862 PECOS PAC ID: 3173436094 Enrollment ID: O20040225000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiersten Ashleigh De La Vega, RN 10325 Sw 20th St, Davie, FL 33324-7428 Ph: () - | Kiersten Ashleigh De La Vega, RN 10325 Sw 20th St, Davie, FL 33324-7428 Ph: (954) 474-5577 |
Frances Noziere, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3470 Southern Orchard Rd E, Davie, FL 33328 Phone: 786-564-8918 | |
Rodica Chery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4400 | |
Dr. Anh Thuy Tran-jamette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3476 S University Dr, Davie, FL 33328 Phone: 954-475-4400 | |
Viviane Vicente Dean, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8305 Sw 26th Pl, Davie, FL 33328 Phone: 305-343-1766 |