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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY VANDERWEIDE, CRNA

Active

TIMOTHY VANDERWEIDE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in SCOTT CITY, Kansas. NPI 1023482072 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · SCOTT CITY, KS

Registration Details

NPI Number
1023482072
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2015 (10.763609244187 yrs)
Last Updated
Dec 28, 2017
Licenses
13-112281-051 (KS)
557379 (KS)

Practice Information

Address
201 ALBERT AVE
SCOTT CITY, KS, 67871
Browse KS providers · Browse ZIP 67871
Phone
6208725811
Fax
6208723660
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in SCOTT CITY, KS

Name Credential NPI
MR. MICHAEL LEE GOODE CRNA 1760816912
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.