Individual provider · Type 1 NPI

Matthew Lamar McCoucha, CRNA NURSE ASSISTANT

Certified Registered Nurse Anesthetist · Great Lakes, IL

NPI number 1902872062 Active

Practice location

Naval Hospital Great Lakes, 3001 A 6th Street
Great Lakes, IL 60088

Mailing address

1040 Gulf Breeze Parkway, Andrews Institute For Orthopaedics & Sports Medicine
Gulf Breeze, FL 32561

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X0024140275 (VA)
Certified Registered Nurse Anesthetist Primary 367500000XARNP9296655 (FL)

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…

About NPI 1902872062

Matthew Lamar McCoucha, CRNA NURSE ASSISTANT's National Provider Identifier is 1902872062, issued on Feb 27, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Great Lakes, IL. The record was last updated on Dec 9, 2009.