Individual provider · Type 1 NPI
John Carroll
Certified Registered Nurse Anesthetist · Peoria, IL
Practice location
221 NE Glen Oak Ave
Peoria, IL 61636-1009
Mailing address
710 Creekside Dr
Tiffin, IA 52340-8406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Certified Registered Nurse Anesthetist Primary | 367500000X | 209032505 (IL) |
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 1275229494
John Carroll's National Provider Identifier is 1275229494, issued on Apr 12, 2023. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Peoria, IL. The record was last updated on Jun 12, 2025.