Walter L Pendergrast in Wilmington - Nurse Anesthetist, Certified Registered
Walter L Pendergrast - NPI 1962554741
Walter L Pendergrast is a Nurse Anesthetist, Certified Registered in Wilmington, North Carolina. Walter L Pendergrast practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Walter L Pendergrast is 1962554741. The last update date is 2021-03-17.
Walter L Pendergrast's current location address is 2131 S 17th St, Wilmington, North Carolina. You can contact this provider via phone number 9107729202 and fax number 9107729452. The mailing address for Walter L Pendergrast is 2131 S 17th St, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter L Pendergrast |
|---|---|
| Address | 2131 S 17th St, Wilmington, North Carolina |
| Phone Number | 9107729202 |
| Fax Number | 9107729452 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1962554741 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2021-03-17 |
Provider Mailing Address Detail
| Address | 2131 S 17th St |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284017407 |
| Phone Number | 9107729202 |
| Fax Number | 9107729452 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 80616 |
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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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What is the unique 10-digit identification code issued to Walter L Pendergrast by the Centers for Medicare & Medicaid Services?
The Walter L Pendergrast has been assigned the NPI (National Provider Identifier) 1962554741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Walter L Pendergrast is located?
The Walter L Pendergrast is situated at the following address: 2131 S 17Th St, Wilmington, NC, 284017407.
What is Walter L Pendergrast's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Walter L Pendergrast is Nurse Anesthetist, Certified Registered, and the taxonomy code that classifies this field of practice is 367500000X.
When did Walter L Pendergrast receive its 1962554741 assignment?
The Walter L Pendergrast was assigned its 1962554741 on 2007-01-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Walter L Pendergrast, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Walter L Pendergrast, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-17.