Active NPIIndividual provider

Andrew P Chisholm, CRNA

Nurse Anesthetist, Certified Registered in Providence, Rhode Island

NPI Number1063650976
Practice location
593 Eddy Street, Davol 129, Providence, RI 02903-4923
Fax
401-444-5090
Last updated
June 11, 2026

Andrew P Chisholm is a Nurse Anesthetist, Certified Registered based in Providence, RI. Andrew P Chisholm practices in Providence, RI and has the professional credentials of CRNA. The NPI Number for Andrew P Chisholm is 1063650976 and holds a License No. RNA00047-G (RI). The current practice location address for Andrew P Chisholm is 593 Eddy Street, Davol 129, Providence, RI 02903-4923 and can be reached out via phone at 401-444-4933 and via fax at 401-444-5090.

Provider Profile Details

NPI Number
1063650976
Provider Name
Andrew P Chisholm
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy Street, Davol 129, Providence, RI 02903-4923
Phone Number
401-444-4933
Fax Number
401-444-5090
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2009
Last Update Date
June 11, 2026
Certification Date
June 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy Street
Davol 129
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-4933
Fax Number
401-444-5090
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
One Virginia Avenue
Suite 201
Providence, RI 02905
City
Providence
State
RI
Zip
02905
Phone Number
401-490-0916
Fax Number
401-490-0979

License Information

License Number (1)
RNA00047-G
License State (1)
RI
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
RNA36690
License State (2)
RI
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
RN258866
License State (3)
MA
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (4)
APRN00282
License State (4)
RI
Taxonomy (4)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrew P Chisholm, CRNA?

The NPI number of Andrew P Chisholm, CRNA is 1063650976. It was assigned on January 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Andrew P Chisholm, CRNA?

Andrew P Chisholm, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in RI under license number RNA00047-G.

Where does Andrew P Chisholm, CRNA practice?

The practice location is 593 Eddy Street, Davol 129, Providence, RI 02903-4923. The office can be reached at 401-444-4933 (phone) or 401-444-5090 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063650976 directly on the NPPES registry website.

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