Individual provider · Type 1 NPI

Larry J. Kotewa, CRNA

Certified Registered Nurse Anesthetist · Peoria, IL

NPI number 1942278130 Active

Practice location

124 W Whitehall Ct
Peoria, IL 61614-3032

Fax (309) 683-1003

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XNone listed

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 1942278130

Larry J. Kotewa, CRNA's National Provider Identifier is 1942278130, issued on Mar 14, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.