Timothy Vanderweide, CRNA
NPI #1023482072 in Scott City, Kansas
Provider Information
- NPI Number
- 1023482072
- Entity Type
- Individual
- Name
- Timothy Vanderweide, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Nov 13, 2015
- Last Updated
- Dec 28, 2017
Practice Location
- Address
- 201 ALBERT AVE
- City
- Scott City
- State
- Kansas
- ZIP Code
- 67871
- Phone
- (620) 872-5811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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