Black River Anesthesia, Plc in Jonesboro - Nurse Anesthetist, Certified Registered
Black River Anesthesia, Plc - NPI 1124174271
Black River Anesthesia, Plc is a Nurse Anesthetist, Certified Registered in Jonesboro, Arkansas. Black River Anesthesia, Plc practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Black River Anesthesia, Plc is 1124174271. The last update date is 2020-08-22.
Black River Anesthesia, Plc's current location address is Po Box 1288, Jonesboro, Arkansas. You can contact this provider via phone number 8709728053 and fax number 8709728053. The mailing address for Black River Anesthesia, Plc is Po Box 1288, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Black River Anesthesia, Plc |
|---|---|
| Address | Po Box 1288, Jonesboro, Arkansas |
| Phone Number | 8709728053 |
| Fax Number | 8709728053 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Wyatt Lynn Susan |
| Credentials | R.N. |
| Telephone Number | 8709728053 |
NPI Number Detail
| NPI Number | 1124174271 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1288 |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724031288 |
| Phone Number | 8709728053 |
| Fax Number | 8709728053 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | C00474 CRNA |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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What is the Black River Anesthesia, Plc's unique identification number?
The Black River Anesthesia, Plc has been assigned the NPI (National Provider Identifier) Number 1124174271 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Black River Anesthesia, Plc's physical address?
The Black River Anesthesia, Plc is physically located at Po Box 1288, in the city of Jonesboro, AR, with the postal code 724031288.
What is Black River Anesthesia, Plc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Black River Anesthesia, Plc is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124174271 to Black River Anesthesia, Plc?
The Centers for Medicare & Medicaid Services assigned the 1124174271 to Black River Anesthesia, Plc on 2007-01-25.
As of what date was the information regarding Black River Anesthesia, Plc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Black River Anesthesia, Plc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.