Rudolph Johnson in Crystal City - Nurse Anesthetist, Certified Registered
Rudolph Johnson - NPI 1811903511
Rudolph Johnson is a Nurse Anesthetist, Certified Registered in Crystal City, Missouri. Rudolph Johnson practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Rudolph Johnson is 1811903511. The last update date is 2007-07-08.
Rudolph Johnson's current location address is Po Box 350, Crystal City, Missouri. You can contact this provider via phone number 6369331000. The mailing address for Rudolph Johnson is Po Box 350, Crystal City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rudolph Johnson |
|---|---|
| Address | Po Box 350, Crystal City, Missouri |
| Phone Number | 6369331000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1811903511 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 350 |
|---|---|
| City | Crystal City |
| State | Missouri (MO) |
| Post Code | 630190350 |
| Phone Number | 6369331000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 50632 |
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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 |
|---|---|---|---|
| 430687077013 | MO | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Rudolph Johnson by the Centers for Medicare & Medicaid Services?
The Rudolph Johnson has been issued the NPI (National Provider Identifier) 1811903511 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Rudolph Johnson is physically located?
The Rudolph Johnson is physically situated at the following address: Po Box 350, Crystal City, MO, 630190350.
What is the Rudolph Johnson's specialty and taxonomy code?
The Rudolph Johnson's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811903511 to Rudolph Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1811903511 to Rudolph Johnson on 2006-08-01.
As of what date were the details related to Rudolph Johnson most recently updated or revised?
The information pertaining to Rudolph Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.