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NPI Code Detail

MEDICARE: MR. CAI ERIK NIELSEN CRNA

MEDICARE: MR. CAI ERIK NIELSEN 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 AnesthetistNA3053CA
2367500000XCertified Registered Nurse AnesthetistRN545910CA
3367500000XCertified Registered Nurse AnesthetistCRNA3053CA
4367500000XCertified Registered Nurse Anesthetist702217TX

Other Identifiers

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

General Provider Information

NPI Number : 1932178175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CAI ERIK NIELSEN CRNA
Provider Business Mailing Address
First Line : 907 EUREKA ST
Second Line : STE B
City : WEATHERFORD
State : TX
Zip : 76086-5880
Country : US
Telephone Number : 817-598-9328
Fax Number : 817-599-4902
Provider Business Practice Location Address
First Line : 713 E ANDERSON ST
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5705
Country : US
Telephone Number : 682-582-1000
Fax Number : 817-599-4902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 03/19/2018

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