Eric Dane Albaugh, CRNA
Nurse Anesthetist, Certified Registered in Springfield, MO. Individual provider (NPI-1).
NPI number1184965212
StatusActive
Last updated in NPPESOct 15, 2021
Details
- NPI
- 1184965212
- Entity type
- Individual (NPI-1)
- Name
- Eric Dane Albaugh
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2013
- Certification date
- Oct 15, 2021
- Last updated
- Oct 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2013007659 | MO | Yes |
Practice location
1235 E Cherokee StSpringfield, MO 65804-2203
Phone 417-820-2829
Mailing address
Po Box 2580Springfield, MO 65801-2580
Phone 417-829-4620
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