| Sintahyu Mulata, CRNA | |
| 
					11456 South Broadway, Crown Point, IN 46307-7106  | |
| (219) 948-8015 | |
| (219) 661-1408 | 
| Full Name | Sintahyu Mulata | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 11456 South Broadway, Crown Point, Indiana | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477620508 | NPI | - | NPPES | 
| 000000189991 | Other | IN | BCBS OF INDIANA | 
| 209003179 | Other | IL | BCBSIL | 
| 20043140A | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28074199A (Indiana) | Primary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 430060834 (Illinois) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sintahyu Mulata, CRNA 11456 South Broadway, Crown Point, IN 46307-7106 Ph: (219) 948-8015  | Sintahyu Mulata, CRNA 11456 South Broadway, Crown Point, IN 46307-7106 Ph: (219) 948-8015  | 
Timothy J Dykstra, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 N Main St, Crown Point, IN 46307 Phone: 219-757-6077  | |
Lenny Olivares, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9301 Connecticut Drive, Crown Point, IN 46307 Phone: 219-756-2100  | |
Mr. Mark Anthony Toth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2555 Harvest Dr, Crown Point, IN 46307 Phone: 219-743-9794  | |
David Velasco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6390  | |
Mary E Means, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6077 Fax: 219-757-6261  | |
Mr. Jerry Lee Stuffle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8673 Calhoun Pl, Crown Point, IN 46307 Phone: 219-365-7954  |