Taxonomy Code 367500000X(367500000x)
Certified Registered Nurse Anesthetist. Providers: 19

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Certified Registered Nurse Anesthetist Providers

NPI Name Type Address

1164640926

CRNA Shane D Faltys

Individual

2620 N Westwood Blvd

Poplar Bluff, MO

1255541165

CRNA Roger Dean Faltys

Individual

2620 N Westwood Blvd

Poplar Bluff, MO

1659440204

CRNA Joel W. Murphree

Individual

2620 N Westwood Blvd

Poplar Bluff, MO

1295921112

MR. CRNA Glenn Dean Carlton

Individual

621 W Pine St

Poplar Bluff, MO

1174796601

CRNA Timothy Paul Kordick

Individual

2620 N Westwood Blvd

Poplar Bluff, MO

1952380792

CRNA John Bollenbacher

Individual

219 Physicians Park

Poplar Bluff, MO

1356555148

MR. Richard Leroy Crayton

Individual

2620 N Westwood Blvd

Poplar Bluff, MO

1447576962

C.R.N.A. Joann Turner

Individual

784 County Road 475

Poplar Bluff, MO

1780903021

MR. CRNA Charles Matthew Hollis

Individual

2620 N Westwood Blvd

Poplar Bluff, MO

1699080143

Southeast Missouri Anesthesia Partners Llc

Organization

2620 N Westwood Blvd

Poplar Bluff, MO

1477532430

CRNA Donald Foust

Individual

219 Physicians Park

Poplar Bluff, MO

1770851743

MRS. Lisa Renee Carroll

Individual

2620 N Westwood Blvd

Poplar Bluff, MO

1629056650

CRNA Robert H Mielke

Individual

209 S Main St

Poplar Bluff, MO

1730330168

Poplar Bluff Regional Medical Center Llc

Organization

2620 N Westwood Blvd

Poplar Bluff, MO

1215366307

Guardian Anesthesia Associates Llc

Organization

219 Physicians Park

Poplar Bluff, MO

1003007329

MS. CRNA Shirley A Jautz

Individual

221 Physicians Park

Poplar Bluff, MO

1578958377

MRS. CRNA Jennifer Moss

Individual

3100 Oak Grove Rd

Poplar Bluff, MO

1568800647

MRS. CRNA Amanda Gail Moffitt

Individual

3100 Oak Grove Rd

Poplar Bluff, MO

1699754242

Mid-land Anesthesia Associates

Organization

219 Physicians Park

Poplar Bluff, MO

How to obtain, renew, or terminate an NPI

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Taxonomy Code 367500000X
Display Name Certified Registered Nurse Anesthetist
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Nurse Anesthetist, Certified Registered
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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Effective Date September 30, 2009
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