Jeffry Lynes Peterson in Red Bud - Nurse Anesthetist, Certified Registered
Jeffry Lynes Peterson - NPI 1164569729
Jeffry Lynes Peterson is a Nurse Anesthetist, Certified Registered in Red Bud, Illinois. Jeffry Lynes Peterson practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jeffry Lynes Peterson is 1164569729. The last update date is 2020-02-04.
Jeffry Lynes Peterson's current location address is 10117 Pine Crest Rd, Red Bud, Illinois. You can contact this provider via phone number 6182822872. The mailing address for Jeffry Lynes Peterson is 10117 Pine Crest Rd, Red Bud, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffry Lynes Peterson |
|---|---|
| Address | 10117 Pine Crest Rd, Red Bud, Illinois |
| Phone Number | 6182822872 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1164569729 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2020-02-04 |
Provider Mailing Address Detail
| Address | 10117 Pine Crest Rd |
|---|---|
| City | Red Bud |
| State | Illinois (IL) |
| Post Code | 6227844580 |
| Phone Number | 6182822872 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 124294 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7424890700 | KY | -- |
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What is the unique identifier code issued to Jeffry Lynes Peterson by the Centers for Medicare & Medicaid Services?
The Jeffry Lynes Peterson has been assigned the NPI (National Provider Identifier) 1164569729. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeffry Lynes Peterson?
The Jeffry Lynes Peterson is situated at 10117 Pine Crest Rd, in the city of Red Bud, state of IL, with the zip code 6227844580.
What is Jeffry Lynes Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffry Lynes Peterson's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.
When did the Jeffry Lynes Peterson receive its 1164569729?
The Jeffry Lynes Peterson was issued its 1164569729 on 2007-01-31, which is the date when the organization was assigned this unique identifier.
When was the information related to Jeffry Lynes Peterson most recently updated or refreshed?
The details pertaining to the Jeffry Lynes Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-02-04.
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