Healthcare Provider Details

I. General information

NPI: 1992705222
Provider Name (Legal Business Name): WILLIAM P GURNEY CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 06/08/2022
Certification Date: 05/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3259 KENYON RD
COLUMBUS OH
43221-1809
US

IV. Provider business mailing address

PO BOX 711052
CINCINNATI OH
45271-0001
US

V. Phone/Fax

Practice location:
  • Phone: 614-309-0975
  • Fax:
Mailing address:
  • Phone: 614-457-8180
  • Fax: 614-583-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCOA.04704-NA
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: