Individual provider · Type 1 NPI

Jenna Eliz Tan Derivera, CAA

Anesthesiologist Assistant · Washington, DC

NPI number 1255123345 Active

Practice location

1200 Pecan St SE
Washington, DC 20032-2652

Call (202) 823-4220 Map

Mailing address

2300 M St NW Fl 7
Washington, DC 20037-1434

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000XNone listed

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1255123345

Jenna Eliz Tan Derivera, CAA's National Provider Identifier is 1255123345, issued on May 22, 2025. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Washington, DC. The record was last updated on May 22, 2025.