Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERY W EDSTROM
Active Sole ProprietorJEFFERY W EDSTROM is a Certified Nurse Anesthetist (CRNA) healthcare provider located in BUFFALO, Wyoming. NPI 1164427274 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · BUFFALO, WY
Registration Details
- NPI Number
- 1164427274
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2005 (21.120412455106 yrs)
- Last Updated
- Jun 3, 2014
- License
-
129337 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
497 W LOTT STBUFFALO, WY, 828341658Browse WY providers · Browse ZIP 82834
- Phone
- 3076845521
- Fax
- 3076845385
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
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.