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NPI Code Detail

MEDICARE: MICHAEL EVAN JONES CRNA

MEDICARE: MICHAEL EVAN JONES CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist97064CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427054816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL EVAN JONES CRNA
Provider Business Mailing Address
First Line : PO BOX 911244
Second Line : ATTN: SMC ANESTHESIA
City : DENVER
State : CO
Zip : 80291-1244
Country : US
Telephone Number : 719-557-4221
Fax Number : 719-557-3834
Provider Business Practice Location Address
First Line : 1008 MINNEQUA AVE
Second Line :
City : PUEBLO
State : CO
Zip : 81004-3733
Country : US
Telephone Number : 719-557-4221
Fax Number : 719-557-3834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/26/2013

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