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NPI Code Detail

MEDICARE: MS. KATHRYN ELOISE BAUERNSCHMITT CRNA

MEDICARE: MS. KATHRYN ELOISE BAUERNSCHMITT 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 AnesthetistR0040825OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2G3713OTHERFLBCBS OF FLORIDA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336148980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN ELOISE BAUERNSCHMITT CRNA
Provider Business Mailing Address
First Line : 600 SW 51ST ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-7340
Country : US
Telephone Number : 405-833-6254
Fax Number :
Provider Business Practice Location Address
First Line : 920 STANTON L YOUNG BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5036
Country : US
Telephone Number : 405-271-4351
Fax Number : 405-271-8695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2005
Last Update Date : 08/02/2021

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Directions to “ MS. KATHRYN ELOISE BAUERNSCHMITT CRNA” Practice Location

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