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Tayoh Jonathan Valdez, CRNA

Nurse Anesthetist, Certified Registered in Springfield, IL. Individual provider (NPI-1).

NPI number1861900490
StatusActive
Last updated in NPPESNov 13, 2023

Details

NPI
1861900490
Entity type
Individual (NPI-1)
Name
Tayoh Jonathan Valdez
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Jan 17, 2018
Certification date
Nov 13, 2023
Last updated
Nov 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered209028326ILYes
367500000X Nurse Anesthetist, Certified Registered0024175735VA

Practice location

701 N 1st St
Springfield, IL 62781-4309

Phone 217-788-3000

Mailing address

701 N 1st St Anesthesia Department
Springfield, IL 62781-0001

Phone 217-788-3000

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