NPI 1134194525

David Goudreau, CRNA

Practitioner Certified Registered Nurse Anesthetist Providence, RI

Practice location

Address: 593 Eddy St Davol 129, Providence, RI 02903-4923
Phone: (401) 444-4933
Fax: (401) 444-5090
Mailing address: 690 Canton St STE 325, Westwood, MA 02090-2324

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 136964 (MA)

Other Nurse Anesthetist, Certified Registered providers in Rhode Island →

Registry record

NPI: 1134194525
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2006
Record last updated: 28 Mar 2016

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.