| Royceanne Scoville, CRNA | |
|
800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | |
| (217) 525-5643 | |
| (217) 544-2521 |
| Full Name | Royceanne Scoville |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 800 East Carpenter Street, Springfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376531244 | NPI | - | NPPES |
| 041206854 | Other | IL | IL STATE LICENSE # |
| 069877 | Other | IL | HEALTH ALLIANCE NUMBERS |
| 0841504038 | Other | IL | BCBS OF ILLINOIS |
| 209-005626 | Other | IL | IL APN LICENSE # |
| 52339 | Other | IL | AANA# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209002903 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Royceanne Scoville, CRNA 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 Ph: (217) 525-5643 | Royceanne Scoville, CRNA 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 Ph: (217) 525-5643 |
Douglas Mcdonald Childs, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62704 Phone: 217-525-5643 Fax: 217-544-2521 | |
Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071 | |
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071 | |
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521 | |
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541 | |
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311 |