NPI 1093060170

Jeremy R Taysom, CRNA

Practitioner Certified Registered Nurse Anesthetist Evanston, WY

Practice location

Address: 190 Arrowhead Dr, Evanston, WY 82930-9266
Phone: (307) 789-3636
Mailing address: 444 Crane Ave, Evanston, WY 82930-4916

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 56824 (WY)

Other Nurse Anesthetist, Certified Registered providers in Wyoming →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA-837 (ID)

Registry record

NPI: 1093060170
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2012
Record last updated: 14 Aug 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.