is a Nurse Anesthetist, Certified Registered in Elizabethtown, Kentucky. practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for is 1275683302. The last update date is .
's current location address is 639 North Mulberry, Elizabethtown, Kentucky. You can contact this provider via phone number 2707374600 and fax number 2707371722. The mailing address for is 639 North Mulberry, Elizabethtown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 639 North Mulberry, Elizabethtown, Kentucky |
| Phone Number | 2707374600 |
| Fax Number | 2707371722 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1275683302 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 639 North Mulberry |
|---|---|
| City | Elizabethtown |
| State | Kentucky (KY) |
| Post Code | 42701 |
| Phone Number | 2707374600 |
| Fax Number | 2707371722 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 5084A |
|
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 |
|---|---|---|---|
| 7100008060 | KY | -- |
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