Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marble Mountain Anesthesia, Inc , a Professional Nursing Corporation

Organization Certified Registered Nurse Anesthetist · NPI 1922577535

Marble Mountain Anesthesia, Inc , a Professional Nursing Corporation is a Certified Registered Nurse Anesthetist in Yreka, California. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

444 Bruce St
Yreka, CA 96097-3450
Phone: (530) 841-6283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1922577535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Davidson — President/Cfo/Secretary · (530) 240-5115
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 14, 2018
Mailing address112 Serpa Ln, Fort Jones, CA 96032-9734

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