Individual provider · Type 1 NPI

Ethan John Chupka, CRNA

Certified Registered Nurse Anesthetist · Pueblo, CO

NPI number 1659971034 Active

Practice location

400 W 16th St
Pueblo, CO 81003-2745

Fax (719) 542-0809

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000XAPN.1000360-CRNA (CO)
Registered Nurse 163W00000X4704315820 (MI)
Certified Registered Nurse Anesthetist Primary 367500000X4704315820 (MI)

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 1659971034

Ethan John Chupka, CRNA's National Provider Identifier is 1659971034, issued on Oct 27, 2020. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Pueblo, CO. The record was last updated on Aug 17, 2026.