NPI 1336465798

Dallin Lee Bracken, CRNA

Practitioner Certified Registered Nurse Anesthetist Gillette, WY

Practice location

Address: 501 S Burma Ave, Gillette, WY 82716-3426
Phone: (307) 688-1000
Mailing address: 2001 W Lakeway Rd, Gillette, WY 82718-5773

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 28057.1046 (WY)

Other Nurse Anesthetist, Certified Registered providers in Wyoming →

Registry record

NPI: 1336465798
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2010
Record last updated: 27 Oct 2010

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.