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NPI Code Detail

MEDICARE: MR. STEVEN STANLEY WALTHER CRNA

MEDICARE: MR. STEVEN STANLEY WALTHER 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 AnesthetistARNP 2611312FL

General Provider Information

NPI Number : 1033171939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN STANLEY WALTHER CRNA
Provider Business Mailing Address
First Line : 6015 POINTE WEST BLVD
Second Line :
City : BRADENTON
State : FL
Zip : 34209-5532
Country : US
Telephone Number : 941-792-1404
Fax Number : 941-761-0712
Provider Business Practice Location Address
First Line : 6015 POINTE WEST BLVD
Second Line :
City : BRADENTON
State : FL
Zip : 34209-5532
Country : US
Telephone Number : 941-792-1404
Fax Number : 941-761-0712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 02/29/2012

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