Individual provider · Type 1 NPI

Blake D. Weatherby, CRNA

Certified Registered Nurse Anesthetist · Rogers, AR

NPI number 1235734542 Active

Practice location

2710 S Rife Medical Ln
Rogers, AR 72758-1452

Fax (479) 338-3056

Mailing address

PO Box 507
Lowell, AR 72745-0507

Other practice locations

  • 1102 W 32nd St, Joplin, MO 64804-3503 · (417) 347-5222

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X2026009627 (MO)
Registered Nurse 163W00000XTEMP213551 (AR)
Registered Nurse 163W00000X864477 (TX)
Certified Registered Nurse Anesthetist Primary 367500000X213551 (AR)

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 1235734542

Blake D. Weatherby, CRNA's National Provider Identifier is 1235734542, issued on Dec 3, 2020. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Rogers, AR. The record was last updated on Sep 14, 2026.