Gregory Wilson in Moberly - Nurse Anesthetist, Certified Registered
Gregory Wilson - NPI 1730150673
Gregory Wilson is a Nurse Anesthetist, Certified Registered in Moberly, Missouri. Gregory Wilson practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Gregory Wilson is 1730150673. The last update date is 2008-04-02.
Gregory Wilson's current location address is 1303 Quail Haven Dr, Moberly, Missouri. You can contact this provider via phone number 5736865550. The mailing address for Gregory Wilson is 1303 Quail Haven Dr, Moberly, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Wilson |
|---|---|
| Address | 1303 Quail Haven Dr, Moberly, Missouri |
| Phone Number | 5736865550 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1730150673 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2008-04-02 |
Provider Mailing Address Detail
| Address | 1303 Quail Haven Dr |
|---|---|
| City | Moberly |
| State | Missouri (MO) |
| Post Code | 652703837 |
| Phone Number | 5736865550 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 132362 |
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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 |
|---|---|---|---|
| 125164 | MO | MO BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gregory Wilson by the Centers for Medicare & Medicaid Services?
The Gregory Wilson has been assigned the NPI (National Provider Identifier) 1730150673 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Gregory Wilson is physically located?
The Gregory Wilson is physically situated at the following address: 1303 Quail Haven Dr, Moberly, MO, 652703837.
What is the Gregory Wilson's area of specialization and corresponding taxonomy classification?
The Gregory Wilson's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730150673 to Gregory Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1730150673 to Gregory Wilson on 2006-01-30.
When was the Gregory Wilson's information last updated?
The Gregory Wilson's information was last updated on 2008-04-02.