MEDICARE: WILLIAM P GURNEY 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
1	367500000X	Certified Registered Nurse Anesthetist	COA.04704-NA	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1992705222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM P GURNEY CRNA

Provider Business Mailing Address
First Line	:	PO BOX 711052
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45271-0001
Country	:	US
Telephone Number	:	614-457-8180
Fax Number	:	614-583-3300

Provider Business Practice Location Address
First Line	:	3259 KENYON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-1809
Country	:	US
Telephone Number	:	614-309-0975
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	06/08/2022

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