Michael Petru in Maryville - Nurse Anesthetist, Certified Registered
Michael Petru - NPI 1124188354
Michael Petru is a Nurse Anesthetist, Certified Registered in Maryville, Illinois. Michael Petru practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Michael Petru is 1124188354. The last update date is 2008-02-19.
Michael Petru's current location address is 6810 State Route 162, Maryville, Illinois. You can contact this provider via phone number 6182885711. The mailing address for Michael Petru is 6810 State Route 162, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Petru |
|---|---|
| Address | 6810 State Route 162, Maryville, Illinois |
| Phone Number | 6182885711 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1124188354 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2008-02-19 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628501 |
| Phone Number | 6182885711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
|
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 |
|---|---|---|---|
| 340628294001 | IL | -- |
Post Comment/ Review Below
What is the Michael Petru's 1124188354?
The Michael Petru's NPI (National Provider Identifier) Number is 1124188354. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Petru?
The Michael Petru is physically situated at 6810 State Route 162, in the city of Maryville, state of IL, with the postal code 620628501.
What is the Michael Petru's area of specialization and corresponding taxonomy classification?
The Michael Petru'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 1124188354 to Michael Petru?
The Centers for Medicare & Medicaid Services originally issued the 1124188354 to Michael Petru on 2006-12-11.
As of what date was the information pertaining to Michael Petru, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Petru, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-19.
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