Individual provider · Type 1 NPI

Eric David Wagner

Certified Registered Nurse Anesthetist · Carbondale, IL

NPI number 1306358445 Active

Practice location

405 W Jackson St
Carbondale, IL 62901-1462

Fax (618) 529-0449

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

  • 201 S 14th St, Herrin, IL 62948-3631 · (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 · (618) 684-3156

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X209016825 (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 1306358445

Eric David Wagner's National Provider Identifier is 1306358445, issued on Oct 30, 2017. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Carbondale, IL. The record was last updated on Mar 5, 2021.