| Nathan Jeffrey King, APRN, CRNA | |
|
111 17th Ave E, Alexandria, MN 56308-5273 | |
| (320) 762-1511 | |
| Not Available |
| Full Name | Nathan Jeffrey King |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 111 17th Ave E, Alexandria, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023728623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2139115 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 145429 (Minnesota) | Primary |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Douglas County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164424305 PECOS PAC ID: 0648171413 Enrollment ID: O20040115000387 |
| Entity Name | Glacial Ridge Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255348223 PECOS PAC ID: 5294789194 Enrollment ID: O20050719000315 |
| Entity Name | Glacial Ridge Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538178520 PECOS PAC ID: 5294789194 Enrollment ID: O20061104000464 |
| Entity Name | Central Minnesota Anesthesia Providers, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417315185 PECOS PAC ID: 8729489059 Enrollment ID: O20210624001331 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Jeffrey King, APRN, CRNA 1500 Irving St, Alexandria, MN 56308-0046 Ph: (320) 762-6084 | Nathan Jeffrey King, APRN, CRNA 111 17th Ave E, Alexandria, MN 56308-5273 Ph: (320) 762-1511 |
Mrs. Amber Michelle-houge Block, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-1144 Fax: 320-762-6100 | |
Brad John Rohr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-1511 | |
Kayla Hughes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-1511 | |
Brian Michael Warzecha, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-1511 |