| David Dustin Edwards, CRNA | |
|
1600 Wallace Blvd, Amarillo, TX 79106-1799 | |
| (806) 212-2000 | |
| Not Available |
| Full Name | David Dustin Edwards |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1600 Wallace Blvd, Amarillo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063954923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN664884 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 57362 (Idaho) | Primary |
| Entity Name | Edwards Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003380783 PECOS PAC ID: 0648510784 Enrollment ID: O20190327001472 |
| Entity Name | Caribou Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20220314000619 |
| Mailing Address | Practice Location Address |
|---|---|
| David Dustin Edwards, CRNA 5210 Pleasant Unity Rd, Latrobe, PA 15650-5108 Ph: (208) 220-5660 | David Dustin Edwards, CRNA 1600 Wallace Blvd, Amarillo, TX 79106-1799 Ph: (806) 212-2000 |
David Ross Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Wallace Blvd, Amarillo, TX 79106 Phone: 806-212-2000 | |
Julie Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-355-9595 Fax: 806-353-1589 | |
Christopher Adam Roe, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-354-6100 | |
Aaron Everett Landers, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-354-6100 | |
Brittany Alexis Morrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7310 Fleming Ave, Amarillo, TX 79106 Phone: 806-354-8891 | |
Amy Jeannette Aguirre, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-354-6100 | |
Joshua Michael Pritchet, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 S Coulter St, Amarillo, TX 79106 Phone: 806-354-1000 |