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NPI Code Detail

MEDICARE: DAVID TAYLOR PRATT CRNA

MEDICARE:   DAVID TAYLOR PRATT  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 AnesthetistAP60229004WA
2390200000XStudent in an Organized Health Care Education/Training ProgramRN00140868WA

General Provider Information

NPI Number : 1952692535
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID TAYLOR PRATT CRNA
Provider Business Mailing Address
First Line : 10 COMMERCE DR
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-5253
Country : US
Telephone Number : 914-637-3530
Fax Number :
Provider Business Practice Location Address
First Line : 502 E BOONE AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99258-1774
Country : US
Telephone Number : 800-986-9585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2011
Last Update Date : 06/14/2011

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Directions to “ DAVID TAYLOR PRATT CRNA” Practice Location

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