Individual provider · Type 1 NPI

William C. Moore, CRNA

Certified Registered Nurse Anesthetist · Lake Elmo, MN

NPI number 1114963451 Active

Practice location

8650 Hudson Blvd N
Lake Elmo, MN 55042-9747

Mailing address

14700 28th Ave N, Suite 20
Plymouth, MN 55447-4835

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XR070888-1 (MN)

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 1114963451

William C. Moore, CRNA's National Provider Identifier is 1114963451, issued on Jun 22, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Lake Elmo, MN. The record was last updated on Jul 8, 2007.