NPI 1093771503

John a Pru, CRNA

Practitioner Certified Registered Nurse Anesthetist Alta, WY

Practice location

Address: 80 Perimeter Drive, Alta, WY 83414
Phone: (307) 421-3396
Mailing address: PO Box 563, Alta, WY 83414

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 6780.0512 (WY)

Other Nurse Anesthetist, Certified Registered providers in Wyoming →

Registry record

NPI: 1093771503
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2006
Record last updated: 8 Jul 2007

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.