Bruce R Stofira in Portland - Nurse Anesthetist, Certified Registered
Bruce R Stofira - NPI 1952383051
Bruce R Stofira is a Nurse Anesthetist, Certified Registered in Portland, Indiana. Bruce R Stofira practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Bruce R Stofira is 1952383051. The last update date is 2007-07-09.
Bruce R Stofira's current location address is 500 W Votaw St, Portland, Indiana. You can contact this provider via phone number 2607267131 and fax number 2607261976. The mailing address for Bruce R Stofira is 500 W Votaw St, Portland, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce R Stofira |
|---|---|
| Address | 500 W Votaw St, Portland, Indiana |
| Phone Number | 2607267131 |
| Fax Number | 2607261976 |
| Sole Proprietor | X |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1952383051 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 500 W Votaw St |
|---|---|
| City | Portland |
| State | Indiana (IN) |
| Post Code | 473711322 |
| Phone Number | 2607267131 |
| Fax Number | 2607261976 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 28156265 |
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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 |
|---|---|---|---|
| 300779 | IN | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bruce R Stofira by the Centers for Medicare & Medicaid Services?
The Bruce R Stofira has been assigned the NPI (National Provider Identifier) 1952383051 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Bruce R Stofira is physically located?
The Bruce R Stofira is situated at the following address: 500 W Votaw St, Portland, IN 473711322.
What is Bruce R Stofira's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce R Stofira's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952383051 to Bruce R Stofira?
The Centers for Medicare & Medicaid Services assigned the 1952383051 to Bruce R Stofira on 2005-11-16.
As of what date were the details related to Bruce R Stofira most recently updated or revised?
The information pertaining to Bruce R Stofira, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.