Scotty L Reddin in Pine Bluff - Nurse Anesthetist, Certified Registered

Scotty L Reddin - NPI 1578568507

Scotty L Reddin is a Nurse Anesthetist, Certified Registered in Pine Bluff, Arkansas. Scotty L Reddin practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Scotty L Reddin is 1578568507. The last update date is 2008-06-24.

Scotty L Reddin's current location address is Po Box 1272, Pine Bluff, Arkansas. You can contact this provider via phone number 8705357457 and fax number 8705352522. The mailing address for Scotty L Reddin is Po Box 1272, Pine Bluff, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Scotty L Reddin
Address Po Box 1272, Pine Bluff, Arkansas
Phone Number 8705357457
Fax Number 8705352522
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1578568507
Provider Enumeration Date 2005-06-16
Last Updated Date 2008-06-24

Provider Mailing Address Detail

Address Po Box 1272
City Pine Bluff
State Arkansas (AR)
Post Code 7161312720
Phone Number 8705357457
Fax Number 8705352522

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No C01282
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
142564701 AR --
5W210 AR BCBS
430061249 RRMCR/PGBA

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FAQs about Scotty L Reddin

What is the unique identification code assigned to Scotty L Reddin by the Centers for Medicare & Medicaid Services?

The Scotty L Reddin has been issued the NPI (National Provider Identifier) 1578568507. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Scotty L Reddin's facilities are geographically located?

The facilities of Scotty L Reddin are physically situated at the following location: Po Box 1272, Pine Bluff, AR, 7161312720.

What is the Scotty L Reddin's specialty and taxonomy code?

The Scotty L Reddin's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1578568507 to Scotty L Reddin?

The Centers for Medicare & Medicaid Services originally issued the 1578568507 to Scotty L Reddin on 2005-06-16.

As of what date were the Scotty L Reddin's details last updated?

The information pertaining to the Scotty L Reddin, including its address, specialty, and other details, was most recently updated on 2008-06-24.

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