Whalio Doctors

NPI 1023042686

Richard Yngve Jacobson, CRNA

Practitioner Certified Registered Nurse Anesthetist West Union, IA

Practice location

Address
112 Jefferson St, West Union, IA 52175
Phone
(563) 422-3811
Mailing address
112 Jefferson St, West Union, IA 52175-1022

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 101116 (IA)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 55485 (KS)

Registry record

NPI
1023042686
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jul 2006
Record last updated
28 May 2019

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.