Keith G Ellstrom in Pinehurst - Nurse Anesthetist, Certified Registered
Keith G Ellstrom - NPI 1982645784
Keith G Ellstrom is a Nurse Anesthetist, Certified Registered in Pinehurst, North Carolina. Keith G Ellstrom practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Keith G Ellstrom is 1982645784. The last update date is 2007-07-08.
Keith G Ellstrom's current location address is Po Box 8500, Pinehurst, North Carolina. You can contact this provider via phone number 9107155413 and fax number 9107151926. The mailing address for Keith G Ellstrom is Po Box 8500, Pinehurst, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith G Ellstrom |
|---|---|
| Address | Po Box 8500, Pinehurst, North Carolina |
| Phone Number | 9107155413 |
| Fax Number | 9107151926 |
| Sole Proprietor | X |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1982645784 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 8500 |
|---|---|
| City | Pinehurst |
| State | North Carolina (NC) |
| Post Code | 283748500 |
| Phone Number | 9107155413 |
| Fax Number | 9107151926 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 119861 |
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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 |
|---|---|---|---|
| 8050425 | NC | -- |
Post Comment/ Review Below
What is the Keith G Ellstrom's 1982645784?
The Keith G Ellstrom's NPI (National Provider Identifier) Number is 1982645784. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Keith G Ellstrom's facilities are geographically located?
The facilities of Keith G Ellstrom are physically situated at the following location: Po Box 8500, Pinehurst, NC, 283748500.
What is Keith G Ellstrom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Keith G Ellstrom is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982645784 to Keith G Ellstrom?
The Centers for Medicare & Medicaid Services originally issued the 1982645784 to Keith G Ellstrom on 2006-06-10.
When was the Keith G Ellstrom's information last updated?
The Keith G Ellstrom's information was last updated on 2007-07-08.