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John R Driver, CRNA

Nurse Anesthetist, Certified Registered in Cape Fair, MO. Individual provider (NPI-1).

NPI number1790770451
StatusActive
Last updated in NPPESOct 3, 2024

Details

NPI
1790770451
Entity type
Individual (NPI-1)
Name
John R Driver
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Sep 19, 2005
Certification date
Oct 3, 2024
Last updated
Oct 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered058819MOYes

Practice location

806 Lakehome Ln
Cape Fair, MO 65624-5305

Phone 417-669-9382

Mailing address

806 Lakehome Ln
Cape Fair, MO 65624-5305

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