Vance Wormwood in Portland - Nurse Anesthetist, Certified Registered

Vance Wormwood - NPI 1063453751

Vance Wormwood is a Nurse Anesthetist, Certified Registered in Portland, Maine. Vance Wormwood practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Vance Wormwood is 1063453751. The last update date is 2014-11-26.

Vance Wormwood's current location address is 22 Bramhall St, Portland, Maine. You can contact this provider via phone number 2076627046. The mailing address for Vance Wormwood is 22 Bramhall St, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Vance Wormwood
Address 22 Bramhall St, Portland, Maine
Phone Number 2076627046
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1063453751
Provider Enumeration Date 2006-06-10
Last Updated Date 2014-11-26

Provider Mailing Address Detail

Address 22 Bramhall St
City Portland
State Maine (ME)
Post Code 41023134
Phone Number 2076627046
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No R019157
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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FAQs about Vance Wormwood

What is the unique 10-digit identification code issued to Vance Wormwood by the Centers for Medicare & Medicaid Services?

The Vance Wormwood has been assigned the NPI (National Provider Identifier) 1063453751 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Vance Wormwood's physical address?

The Vance Wormwood is physically located at 22 Bramhall St, in the city of Portland, ME, with the postal code 41023134.

What is Vance Wormwood's specialized field of practice, and what is the corresponding taxonomy classification code?

The Vance Wormwood's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063453751 to Vance Wormwood?

The Vance Wormwood received its 1063453751 assignment from the Centers for Medicare & Medicaid Services on 2006-06-10.

As of what date was the information regarding Vance Wormwood, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Vance Wormwood, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-11-26.

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