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Mark R Holmberg, C.R.N.A.

Nurse Anesthetist, Certified Registered in Seattle, WA. Individual provider (NPI-1).

NPI number1790763233
StatusActive
Last updated in NPPESMar 12, 2015

Details

NPI
1790763233
Entity type
Individual (NPI-1)
Name
Mr. Mark R Holmberg
Credential
C.R.N.A.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 5, 2006
Last updated
Mar 12, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredAP30007744WAYes
367500000X Nurse Anesthetist, Certified RegisteredR 154503-0MN

Practice location

1100 9th Ave
Seattle, WA 98101-2756

Phone 206-223-6980 · Fax 206-223-6982

Mailing address

2415 Western Ave
Apt 503
Seattle, WA 98121-1394

Phone 612-741-5259

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