NPI 1043649809
Daniel Etheridge, CRNA
Practice location
- Address
- 250 Park St, Bowling Green, KY 42101-1760
- Phone
- (270) 393-1912
- Fax
- (270) 393-1913
- Mailing address
- 825 2nd Ave Suite C6, Bowling Green, KY 42101-1786
Registered specialties (2)
Certified Registered Nurse Anesthetist
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1043649809
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Nov 2013
- Record last updated
- 27 Jan 2017
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.