Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL MOORE
Active Sole ProprietorSAMUEL MOORE is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1154000438 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1154000438
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2023 (3.0698696486644 yrs)
- Last Updated
- Oct 10, 2023
- License
-
2893 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 HARVARD ST SEMINNEAPOLIS, MN, 554550363Browse MN providers · Browse ZIP 55455
- Phone
- 6122738383
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY JOHN CLUNE | C.R.N.A | 1720082639 |
| RICHARD ALLEN OLSON | CRNA | 1336145093 |
| RANDALYN KAYE MERRIAM | CRNA | 1659370310 |
| ROBERT S WALDON | CRNA | 1912909417 |
| MICHAEL R SELLERS | CRNA | 1982696035 |
| MR. THOMAS B. RUBENZER | CRNA | 1558333229 |
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.