Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD K PETRUSCH, CRNA
Active Sole ProprietorMR. EDWARD K PETRUSCH, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in ALVATON, Kentucky. NPI 1386647337 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · ALVATON, KY
Registration Details
- NPI Number
- 1386647337
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2005 (21.08449175726 yrs)
- Last Updated
- Apr 11, 2013
- License
-
820A (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
444 COLLETT BRIDGE RDALVATON, KY, 421229675Browse KY providers · Browse ZIP 42122
- Phone
- 2708420433
- 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.