Michael Mielniczek, CRNA
Nurse Anesthetist, Certified Registered in Seattle, WA. Individual provider (NPI-1).
NPI number1013471663
StatusActive
Last updated in NPPESOct 12, 2020
Details
- NPI
- 1013471663
- Entity type
- Individual (NPI-1)
- Name
- Michael Mielniczek
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2019
- Certification date
- Oct 12, 2020
- Last updated
- Oct 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP61080711 | WA | Yes |
Practice location
1959 Ne Pacific StSeattle, WA 98195-5400
Phone 206-520-5000
Mailing address
Po Box 50095Seattle, WA 98145-5095
Phone 206-520-5700
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