Individual provider · Type 1 NPI

Brian Wayne Church, C.R.N.A.

Certified Registered Nurse Anesthetist · Jacksonville, FL

NPI number 1134482029 Active

Practice location

4035 Southpoint Blvd
Jacksonville, FL 32216-0949

Mailing address

6489 Shadewater Dr
Hilliard, OH 43026-6248

Other practice locations

  • 405 W Grand Ave, Dayton, OH 45405-4720 · (561) 623-2021

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN.320250-COA1 (OH)
Certified Registered Nurse Anesthetist 367500000XCOA.13948-NA (OH)
Certified Registered Nurse Anesthetist Primary 367500000XAPRN11041227 (FL)

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…

4 other providers at this address

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About NPI 1134482029

Brian Wayne Church, C.R.N.A.'s National Provider Identifier is 1134482029, issued on Jun 17, 2012. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 15, 2026.