Individual provider · Type 1 NPI

Samuel Terry, RN

Certified Registered Nurse Anesthetist · Tyler, TX

NPI number 1861384000 Active

Practice location

800 E Dawson St
Tyler, TX 75701-2036

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X924753 (TX)
Certified Registered Nurse Anesthetist Primary 367500000X1215951 (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 1861384000

Samuel Terry, RN's National Provider Identifier is 1861384000, issued on Jul 21, 2025. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Tyler, TX. The record was last updated on Oct 22, 2025.