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

DEREK S POULSON, CRNA

Active

DEREK S POULSON, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in GOSHEN, Indiana. NPI 1033412440 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · GOSHEN, IN

Registration Details

NPI Number
1033412440
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2010 (15.695635445235 yrs)
Last Updated
Nov 18, 2013
License
AA103025 (ME)

Practice Information

Address
57809 HILLSIDE DR
GOSHEN, IN, 465284402
Browse IN providers · Browse ZIP 46528
Phone
8016237813
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in GOSHEN, IN

Name Credential NPI
JANICE MOORE CRNA 1114271327
BRETT DYER CRNA 1972981140
JESSICA MARIE LASLOVICH 1508515396
KATHERINE ANN NEWCOMER CRNA 1235096355
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.