Provider Demographics
NPI:1649351412
Name:CASTRESANA, ELIZABETH JAMES (CRNA)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:JAMES
Last Name:CASTRESANA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:158 MCBRIDE RD
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-1665
Mailing Address - Country:US
Mailing Address - Phone:706-228-5521
Mailing Address - Fax:706-228-5521
Practice Address - Street 1:SAINT JOSEPH HOSPITAL
Practice Address - Street 2:2260 WRIGHTSBORO ROAD
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904
Practice Address - Country:US
Practice Address - Phone:706-481-7609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN086983367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered