Organization · Type 2 NPI

Granite City Clinic Corp

Certified Registered Nurse Anesthetist · Granite City, IL

NPI number 1003892464 Active

Practice location

2100 Madison Ave
Granite City, IL 62040-4701

Call (618) 798-3000 Map

Mailing address

P O Box 503734
St. Louis, MO 63150-0001

Specialties and licenses

Taxonomy	Code	License
Anesthesiology Physician	207L00000X	None listed
Certified Registered Nurse Anesthetist Primary	367500000X	None listed

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

77 other providers at this address

About NPI 1003892464

Granite City Clinic Corp's National Provider Identifier is 1003892464, issued on Dec 19, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Granite City, IL. The record was last updated on Jul 30, 2007.