Peter Idolo, CRNA
Nurse Anesthetist, Certified Registered in McKinney, TX. Individual provider (NPI-1).
NPI number1508288341
StatusActive
Last updated in NPPESSep 28, 2023
Details
- NPI
- 1508288341
- Entity type
- Individual (NPI-1)
- Name
- Peter Idolo
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2014
- Certification date
- Sep 28, 2023
- Last updated
- Sep 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP144813 | TX | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | COA.15533-NA | OH |
Practice location
4510 Medical Center Dr Ste 211McKinney, TX 75069-1602
Phone 469-541-1600 · Fax 469-541-1612
Mailing address
906 W McDermott Dr # 116-371Allen, TX 75013-6510
Phone 469-541-1600 · Fax 469-541-1612
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All 37 Certified Registered Nurse Anesthetist providers in McKinney · All 5,128 providers in McKinney
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