Robert J Idacavage in Reidsville - Nurse Anesthetist, Certified Registered
Robert J Idacavage - NPI 1811044530
Robert J Idacavage is a Nurse Anesthetist, Certified Registered in Reidsville, North Carolina. Robert J Idacavage practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Robert J Idacavage is 1811044530. The last update date is 2007-07-08.
Robert J Idacavage's current location address is 618 S Main St, Reidsville, North Carolina. You can contact this provider via phone number 3369514000. The mailing address for Robert J Idacavage is 618 S Main St, Reidsville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert J Idacavage |
|---|---|
| Address | 618 S Main St, Reidsville, North Carolina |
| Phone Number | 3369514000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1811044530 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 618 S Main St |
|---|---|
| City | Reidsville |
| State | North Carolina (NC) |
| Post Code | 273205020 |
| Phone Number | 3369514000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 39472 |
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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 |
|---|---|---|---|
| 8052514 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Robert J Idacavage by the Centers for Medicare & Medicaid Services?
The Robert J Idacavage has been assigned the NPI (National Provider Identifier) 1811044530 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Robert J Idacavage is physically located?
The Robert J Idacavage is situated at the following address: 618 S Main St, Reidsville, NC 273205020.
What is Robert J Idacavage's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert J Idacavage is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.
On what date did the Robert J Idacavage receive the assignment of its 1811044530 from the Centers for Medicare & Medicaid Services?
The Robert J Idacavage was issued its 1811044530 by the Centers for Medicare & Medicaid Services on 2007-01-04.
As of what date were the Robert J Idacavage's details last updated?
The information pertaining to the Robert J Idacavage, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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