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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARRIE DENISE MIKKELSON-HEREDIA, CRNA

Active Sole Proprietor

CARRIE DENISE MIKKELSON-HEREDIA, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in BEVERLY HILLS, California. NPI 1649345760 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · BEVERLY HILLS, CA

Registration Details

NPI Number
1649345760
Provider Type
Individual
Gender
Female
NPI Issued
Nov 22, 2006 (19.684534677195 yrs)
Last Updated
Jul 16, 2015
License
3288 (CA)
Sole Proprietor
Yes

Practice Information

Address
450 N ROXBURY DR
SUITE 600
BEVERLY HILLS, CA, 902104232
Browse CA providers · Browse ZIP 90210
Phone
3106512280
Fax
3106512260
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in BEVERLY HILLS, CA

Name Credential NPI
DEBORAH J FRUTKIN CRNA 1255382826
ELIZABETH WONG C R N A 1437102100
MR. KENNETH RAY ELANDT CRNA 1942314141
MR. ROBERT A OLSON CRNA, M.S 1174607667
MR. DAVID JAMES FOURNIER CRNA 1457420168
LALEH AMAYA CRNA 1114092632
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.