Nicholas J. Petelin in Kansas City - Nurse Anesthetist, Certified Registered
Nicholas J. Petelin - NPI 1417946856
Nicholas J. Petelin is a Nurse Anesthetist, Certified Registered in Kansas City, Missouri. Nicholas J. Petelin practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Nicholas J. Petelin is 1417946856. The last update date is 2020-12-01.
Nicholas J. Petelin's current location address is 2301 Holmes St, Kansas City, Missouri. You can contact this provider via phone number 8164041127 and fax number 8164041103. The mailing address for Nicholas J. Petelin is 2301 Holmes St, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas J. Petelin |
|---|---|
| Address | 2301 Holmes St, Kansas City, Missouri |
| Phone Number | 8164041127 |
| Fax Number | 8164041103 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1417946856 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2020-12-01 |
Provider Mailing Address Detail
| Address | 2301 Holmes St |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641082640 |
| Phone Number | 8164041127 |
| Fax Number | 8164041103 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 155240 |
|
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 |
|---|---|---|---|
| 919435404 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Nicholas J. Petelin by the Centers for Medicare & Medicaid Services?
The Nicholas J. Petelin has been assigned the NPI (National Provider Identifier) 1417946856 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Nicholas J. Petelin's physical address?
The Nicholas J. Petelin is physically located at 2301 Holmes St, in the city of Kansas City, MO, with the postal code 641082640.
What is the Nicholas J. Petelin's specialty and taxonomy code?
The Nicholas J. Petelin's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
On what date did the Nicholas J. Petelin receive the assignment of its 1417946856 from the Centers for Medicare & Medicaid Services?
The Nicholas J. Petelin was issued its 1417946856 by the Centers for Medicare & Medicaid Services on 2005-10-18.
As of what date were the details pertaining to Nicholas J. Petelin last refreshed?
The information related to the Nicholas J. Petelin, including its address, specialty, and other relevant details, was last updated on 2020-12-01.
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