Provider Demographics
NPI:1013377555
Name:GOINS, STEVEN FRANK (CRNA, RN)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:FRANK
Last Name:GOINS
Suffix:
Gender:M
Credentials:CRNA, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3575 GAY WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-3507
Mailing Address - Country:US
Mailing Address - Phone:951-785-5901
Mailing Address - Fax:
Practice Address - Street 1:3575 GAY WAY
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-3507
Practice Address - Country:US
Practice Address - Phone:951-785-5901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000591367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered