NPI 1063503514

Loren B Thiel, MSCRNA

Practitioner Certified Registered Nurse Anesthetist Douglas, WY

Practice location

Address: 111 S 5th St, Douglas, WY 82633-2434
Phone: (307) 358-2122
Mailing address: PO Box 1385, Idaho Falls, ID 83403-1385

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 192490704 (WY)

Other Nurse Anesthetist, Certified Registered providers in Wyoming →

Registry record

NPI: 1063503514
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2006
Record last updated: 15 Feb 2018

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.