| Kelsey Erin Van Slyke, CRNA | |
|
3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | |
| (479) 463-1000 | |
| Not Available |
| Full Name | Kelsey Erin Van Slyke |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3215 N Northhills Blvd, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013647486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 220718 (Arkansas) | Primary |
| Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Erin Van Slyke, CRNA 2607 Sw Hampton Ave, Bentonville, AR 72713-3102 Ph: (713) 325-1335 | Kelsey Erin Van Slyke, CRNA 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 Ph: (479) 463-1000 |
Amanda Lavon Delsoto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3271 Wimberly Dr, Fayetteville, AR 72703 Phone: 479-713-6100 | |
Mr. Charles Arthur Mccutchen Sr., C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3873 N Parkview Dr, Fayetteville, AR 72703 Phone: 479-527-0050 | |
Victor Pribislavski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3394 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-582-3360 Fax: 479-582-3466 | |
Heather Pribislavski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 501-690-2708 | |
James Berry, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3318 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-872-1294 | |
Bradley Tow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 770-643-5619 |