Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS J. PETELIN, CRNA
ActiveNICHOLAS J. PETELIN, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in KANSAS CITY, Missouri. NPI 1417946856 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · KANSAS CITY, MO
Registration Details
- NPI Number
- 1417946856
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2005 (20.791404033078 yrs)
- Last Updated
- Dec 1, 2020
- License
-
155240 (MO)
Practice Information
- Address
-
2301 HOLMES STKANSAS CITY, MO, 641082640Browse MO providers · Browse ZIP 64108
- Phone
- 8164041127
- Fax
- 8164041103
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES ELI WALTON III | CRNA | 1144223389 |
| LISA KATHLEEN CAST | CRNA | 1891793238 |
| MS. KELLY R GORDON | RN ARNP CRNA | 1063495711 |
| GLORIA A. DIMAGGIO | — | 1346225950 |
| KRISTINE A. GOSWICK | CRNA | 1730164195 |
| MARY J. COUSINS | CRNA | 1184609430 |
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.