Individual provider · Type 1 NPI
Dominique S. Fertal, CRNA
Certified Registered Nurse Anesthetist · Canandaigua, NY
Practice location
350 Parrish St
Canandaigua, NY 14424-1731
Fax (585) 396-6455
Mailing address
601 Elmwood Ave Box 604
Rochester, NY 14642-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN656120 (PA) |
| Certified Registered Nurse Anesthetist | 367500000X | RN656120 (PA) |
| Certified Registered Nurse Anesthetist Primary | 367500000X | 629842 (NY) |
Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…
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About NPI 1891220810
Dominique S. Fertal, CRNA's National Provider Identifier is 1891220810, issued on Apr 27, 2017. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Canandaigua, NY. The record was last updated on Jan 13, 2020.