Individual provider · Type 1 NPI

Dale P. Hotard Iii, CRNA

Certified Registered Nurse Anesthetist · Vicksburg, MS

NPI number 1609314400 Active

Practice location

103 Fairview Dr
Vicksburg, MS 39180-8934

Call (314) 258-1988 Map

Mailing address

181 Woodbine Dr
Vicksburg, MS 39180-5334

Other practice locations

4510 Lakeland Dr, Flowood, MS 39232-9583 · (601) 944-1717
970 Lakeland Dr, Jackson, MS 39216-4635 · (601) 984-8800
120 Stone Creek Blvd Ste 400, Flowood, MS 39232-8210 · (601) 939-5532
530 S Jackson St, Louisville, KY 40202-1675 · (502) 852-5851
1903C Mission 66, Vicksburg, MS 39180-3711 · (601) 994-5941

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist	367500000X	4045094 (KY)
Certified Registered Nurse Anesthetist Primary	367500000X	901422 (MS)

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 1609314400

Dale P. Hotard Iii, CRNA's National Provider Identifier is 1609314400, issued on Feb 1, 2017. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Vicksburg, MS. The record was last updated on Jul 24, 2026.