Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT J IDACAVAGE, CRNA
ActiveROBERT J IDACAVAGE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in REIDSVILLE, North Carolina. NPI 1811044530 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · REIDSVILLE, NC
Registration Details
- NPI Number
- 1811044530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2007 (19.578516887762 yrs)
- Last Updated
- Jul 8, 2007
- License
-
39472 (NC)
Practice Information
- Address
-
618 S MAIN STREIDSVILLE, NC, 273205020Browse NC providers · Browse ZIP 27320
- Phone
- 3369514000
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in REIDSVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| AMY ANDRAZA ADAMS | CRNA | 1578642310 |
| KAREN E DANIEL | CRNA | 1114074820 |
| JOHN L WALLER | CRNA | 1427105980 |
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.