Healthcare Provider Details
I. General information
NPI: 1851898183
Provider Name (Legal Business Name): ANTHONY S CATRON CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/12/2018
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1229 SAINT JAMES DR
NEW CASTLE IN
47362
US
IV. Provider business mailing address
1229 SAINT JAMES DR
NEW CASTLE IN
47362-2835
US
V. Phone/Fax
- Phone: 765-524-2125
- Fax:
- Phone: 765-524-2125
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | 9388312 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | 3012296 |
| License Number State | KY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | 0020405 |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 9388312 |
| License Number State | FL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 28172752A |
| License Number State | IN |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 1157660 |
| License Number State | KY |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 500297 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: