Healthcare Provider Details

I. General information

NPI: 1568294734
Provider Name (Legal Business Name): DARION J MURCHISON-ROSEMAN CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2024
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MACARTHUR BLVD
MUNSTER IN
46321-2901
US

IV. Provider business mailing address

901 MACARTHUR BLVD ANESTHESIA DEPARTMENT
MUNSTER IN
46321-2901
US

V. Phone/Fax

Practice location:
  • Phone: 219-703-1443
  • Fax: 219-513-1127
Mailing address:
  • Phone: 219-703-1443
  • Fax: 219-513-1127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number28252662A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number28252662A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: