NPI 1003598368

Mark Lathrop, CRNA

Practitioner Certified Registered Nurse Anesthetist Jacksonville, FL

Practice location

Address: 2449 Blackbeard Dr, Jacksonville, FL 32224-1139
Phone: (904) 238-0070

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 148709 (FL)

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence RN9415770 (FL)

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence APRN11032408 (FL)

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Registry record

NPI: 1003598368
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Aug 2023
Record last updated: 11 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.