Basic Information
| Provider Information | |||||||||
| NPI: | 1609349919 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VONA | ||||||||
| FirstName: | BRITTNEY | ||||||||
| MiddleName: | MAY | ||||||||
| NamePrefix: | |||||||||
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| Credential: | CRNA | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SINES | ||||||||
| OtherFirstName: | BRITTNEY | ||||||||
| OtherMiddleName: | MAY | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 156 CORLISS AVE APT 107 | ||||||||
| Address2: | |||||||||
| City: | JOHNSON CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 137902071 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077636735 | ||||||||
| FaxNumber: | 6077636736 | ||||||||
| Practice Location | |||||||||
| Address1: | 57 N HARRISON ST | ||||||||
| Address2: | |||||||||
| City: | JOHNSON CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 137901476 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077636000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2019 | ||||||||
| LastUpdateDate: | 01/11/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 650085-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.