Jerry L Boldon in Little Falls - Nurse Anesthetist, Certified Registered

Jerry L Boldon - NPI 1437125390

Jerry L Boldon is a Nurse Anesthetist, Certified Registered in Little Falls, Minnesota. Jerry L Boldon practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jerry L Boldon is 1437125390. The last update date is 2007-07-08.

Jerry L Boldon's current location address is 808 3rd St Se, Little Falls, Minnesota. You can contact this provider via phone number 3206325743 and fax number 3206329680. The mailing address for Jerry L Boldon is 808 3rd St Se, Little Falls, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry L Boldon
Address 808 3rd St Se, Little Falls, Minnesota
Phone Number 3206325743
Fax Number 3206329680
Sole Proprietor X
Credentials CRNA

NPI Number Detail

NPI Number 1437125390
Provider Enumeration Date 2006-02-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 808 3rd St Se
City Little Falls
State Minnesota (MN)
Post Code 563453557
Phone Number 3206325743
Fax Number 3206329680

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No R0910051
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 Jerry L Boldon

Could you please share the complete physical location address where Jerry L Boldon's facilities are situated?

The facilities of Jerry L Boldon are physically located at the following address: 808 3Rd St Se, Little Falls, MN, 563453557.

What is Jerry L Boldon's specialized field of practice, and what is the corresponding taxonomy classification code?

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

What is Jerry L Boldon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jerry L Boldon is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.

On what date was the 1437125390 assigned to Jerry L Boldon?

The Jerry L Boldon was issued its 1437125390 on 2006-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jerry L Boldon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerry L Boldon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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