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NPI Code Detail

MEDICARE: JOSEPH WERNER CRNA

MEDICARE: JOSEPH WERNER 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 AnesthetistCR000379SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649265018
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH WERNER CRNA
Provider Business Mailing Address
First Line : 240 MINNESOTA ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6200
Country : US
Telephone Number : 605-381-2550
Fax Number : 605-348-6146
Provider Business Practice Location Address
First Line : 240 MINNESOTA ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6200
Country : US
Telephone Number : 605-381-2550
Fax Number : 605-348-6146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 06/12/2013

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Directions to “ JOSEPH WERNER CRNA” Practice Location

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