Provider Demographics
NPI:1609349919
Name:VONA, BRITTNEY MAY (CRNA)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:MAY
Last Name:VONA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:MAY
Other - Last Name:SINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:156 CORLISS AVE APT 107
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-2071
Mailing Address - Country:US
Mailing Address - Phone:607-763-6735
Mailing Address - Fax:607-763-6736
Practice Address - Street 1:57 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-1476
Practice Address - Country:US
Practice Address - Phone:607-763-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY650085-1367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered