Provider Demographics
NPI:1659332781
Name:OLANDA, JAMES (CRNA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:OLANDA
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 54 BOX 1309
Mailing Address - Street 2:
Mailing Address - City:AVIANO AB
Mailing Address - State:AVIANO AB
Mailing Address - Zip Code:09601
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC 54 BOX 1309
Practice Address - Street 2:
Practice Address - City:AVIANO AB
Practice Address - State:AVIANO AB
Practice Address - Zip Code:09601
Practice Address - Country:IT
Practice Address - Phone:043-430-5181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACRNA 3089367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered