Individual provider · Type 1 NPI

Rex Dwayne Waggoner, CRNA

Certified Registered Nurse Anesthetist · Springdale, AR

NPI number 1790769164 Active

Practice location

609 W Maple Ave
Springdale, AR 72764-5335

Mailing address

1307 Overo Cir
Springdale, AR 72762-2129

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X26949 (AR)

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 1790769164

Rex Dwayne Waggoner, CRNA's National Provider Identifier is 1790769164, issued on Nov 30, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Springdale, AR. The record was last updated on Jul 9, 2007.