Black River Anesthesia, PLC
Organization Active NPI Certified Registered Nurse Anesthetist · Pocahontas, AR
NPI 1124174271 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124174271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- C00474 CRNA (AR)
- Legal business name
- BLACK RIVER ANESTHESIA, PLC
- Practice address
- 2801 Medical Center Dr
Pocahontas, AR 72455-9436 - Phone
- (870) 972-8053
- Fax
- (870) 972-8053
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Susan Lynn Wyatt, R.N.
- Title
- Office Manager
- Phone
- (870) 972-8053
Practitioners 2
-
Kristi L Kroona, CRNA
-
Robert Clyde Wyatt, C.R.N.A.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | C00474 CRNA | AR | Yes |
Addresses
Primary practice location
2801 Medical Center Dr
Pocahontas, AR 72455-9436
Mailing address
PO Box 1288
Jonesboro, AR 72403-1288
Phone (870) 972-8053
Other providers in Pocahontas, AR
- Chelsea R Barnett
- Basco Chiropractic Clinic
- Dennis Geary Basco
- Juliana M Bennett
- Amanda Jane Billingsley
- Black River Area Development Corp. Senior Citizens Program
- Black River Area Development Corp. Senior Citizens Program
- Stephen K. Blackburn
- Kelley Blackwell
- Janice Kathryn Bonner
All providers in Pocahontas, AR · Certified Registered Nurse Anesthetist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.