Brad Church, CRNA
Nurse Anesthetist, Certified Registered in Gettysburg, PA. Individual provider (NPI-1).
NPI number1912985607
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1912985607
- Entity type
- Individual (NPI-1)
- Name
- Brad Church
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2006
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN356752L | PA | Yes |
Practice location
147 Gettys StGettysburg, PA 17325-2534
Phone 717-337-4168 · Fax 717-337-4318
Mailing address
3421 Concord RdYork, PA 17402-9001
Phone 717-337-4168 · Fax 717-337-4318
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