| Shane Martien, BSN, DNP, CRNA | |
|
15107 Vanowen St, Van Nuys, CA 91405-4597 | |
| (818) 782-6600 | |
| Not Available |
| Full Name | Shane Martien |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 15107 Vanowen St, Van Nuys, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962236893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95002468 (California) | Primary |
| Entity Name | Vp Anesthesia Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518694173 PECOS PAC ID: 6002283363 Enrollment ID: O20221031001532 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Martien, BSN, DNP, CRNA 3311 Jurnee Dr, Findlay, OH 45840-7905 Ph: (419) 721-3814 | Shane Martien, BSN, DNP, CRNA 15107 Vanowen St, Van Nuys, CA 91405-4597 Ph: (818) 782-6600 |
Cecilia Johnson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-782-6600 | |
Madeleine Kovis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6815 Noble Ave, #400, Van Nuys, CA 91405 Phone: 818-901-6690 | |
Sally B Taussig, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14624 Sherman Way, #303, Van Nuys, CA 91405 Phone: 818-785-8371 |