Joel Emerson, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Creston, IA

NPI 1821040833 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1821040833
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
090177 (IA)
Practice address
1700 W Townline St
Creston, IA 50801-1054
Phone
(641) 782-7091
Fax
(641) 782-3830
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
090177IAMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 090177 IA Yes

Addresses

Primary practice location

1700 W Townline St
Creston, IA 50801-1054

Mailing address

1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-7091

Other identifiers

IdentifierTypeStateIssuer
0106757MedicaidIA
1106757MedicaidIA

Other providers in Creston, IA

All providers in Creston, IA · Certified Registered Nurse Anesthetist in Iowa

Sources for this page

Verify at the official NPI Registry.