Individual provider · Type 1 NPI

John M. Ricketts, CRNA

Certified Registered Nurse Anesthetist · Kennett, MO

NPI number 1053520874 Active

Practice location

1231 1st St
Kennett, MO 63857-2527

Mailing address

209 S Main St
Poplar Bluff, MO 63901-5831

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X060608 (MO)

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…

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About NPI 1053520874

John M. Ricketts, CRNA's National Provider Identifier is 1053520874, issued on May 21, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Kennett, MO. The record was last updated on Aug 6, 2014.