Nathan Jeffrey King, APRN, CRNA | |
111 17th Ave E, Alexandria, MN 56308-5273 | |
(320) 762-1511 | |
Not Available |
Full Name | Nathan Jeffrey King |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 111 17th Ave E, Alexandria, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023728623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2139115 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 145429 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Douglas County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164424305 PECOS PAC ID: 0648171413 Enrollment ID: O20040115000387 |
Mailing Address | Practice Location Address |
---|---|
Nathan Jeffrey King, APRN, CRNA 1500 Irving St, Alexandria, MN 56308-0046 Ph: (320) 762-6084 | Nathan Jeffrey King, APRN, CRNA 111 17th Ave E, Alexandria, MN 56308-5273 Ph: (320) 762-1511 |
Mrs. Amber Michelle-houge Block, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-1144 Fax: 320-762-6100 | |
Brad John Rohr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-1511 | |
Kayla Hughes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-1511 | |
Brian Michael Warzecha, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-1511 |