| Melinda Wander, CRNA | |
|
1441 Florida Ave, Modesto, CA 95350-4404 | |
| (209) 578-1211 | |
| Not Available |
| Full Name | Melinda Wander |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1441 Florida Ave, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477238632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95002091 (California) | Primary |
| Entity Name | Advanced Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720543762 PECOS PAC ID: 4880936145 Enrollment ID: O20190507001500 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Wander, CRNA 753 Tern Dr, Lathrop, CA 95330-8044 Ph: () - | Melinda Wander, CRNA 1441 Florida Ave, Modesto, CA 95350-4404 Ph: (209) 578-1211 |
Stanley D. Brizendine, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2030 Coffee Rd, Suite A-1, Modesto, CA 95355 Phone: 209-578-0443 Fax: 209-578-5933 | |
Mrs. Satinder K Birring, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3317 Palliser Way, Modesto, CA 95355 Phone: 916-832-8673 |