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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEEVAN BHATTA, CRNA

Active Sole Proprietor

DR. JEEVAN BHATTA, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1861844003 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · FORT LEONARD WOOD, MO

Registration Details

NPI Number
1861844003
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2016 (10.052987269814 yrs)
Last Updated
Jan 7, 2025
Licenses
1-121107 (AL)
2024020912 (MO)
Sole Proprietor
Yes

Practice Information

Address
4430 MISSOURI AVE
FORT LEONARD WOOD, MO, 654739098
Browse MO providers · Browse ZIP 65473
Phone
5735960417
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in FORT LEONARD WOOD, MO

Name Credential NPI
MR. JOHN SEBASTIAN WONG CRNA 1366431488
TRACI MAE HEESE APRN 1598747578
WILLIAM MARK COLLINS CRNA 1609841592
MR. JIMMIE CONSTANTINE FOSTER CRNA 1881766442
DR. SARAH ELIZABETH BOLIN CRNA, DNAP 1346593415
ALLAN ANTHONY BOLIDO CRNA, DNP 1881052504
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.