Individual provider · Type 1 NPI

Nathan John Wilson Heacock, CRNA

Certified Registered Nurse Anesthetist · Stockton, CA

NPI number 1881155836 Active

Practice location

1800 N California St
Stockton, CA 95204-6019

Mailing address

9687 Marquis Ct
Elk Grove, CA 95758-4674

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN95178472 (CA)
Certified Registered Nurse Anesthetist Primary 367500000X95001167 (CA)

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 1881155836

Nathan John Wilson Heacock, CRNA's National Provider Identifier is 1881155836, issued on Mar 30, 2019. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Stockton, CA. The record was last updated on Aug 13, 2019.