Individual provider · Type 1 NPI

Timothy B. Different, CRNA

Certified Registered Nurse Anesthetist · Jacksonville, TX

NPI number 1730643032 Active

Practice location

2026 S Jackson St
Jacksonville, TX 75766-5822

Fax (903) 541-4679

Mailing address

PO Box 847522
Dallas, TX 75284-7522

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XAP140173 (TX)

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 1730643032

Timothy B. Different, CRNA's National Provider Identifier is 1730643032, issued on Jan 31, 2019. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Jacksonville, TX. The record was last updated on May 21, 2019.