Active NPIIndividual provider

David Goudreau, CRNA

Nurse Anesthetist, Certified Registered in Providence, Rhode Island

NPI Number1134194525
Practice location
593 Eddy St, Davol 129, Providence, RI 02903-4923
Fax
401-444-5090
Last updated
March 28, 2016

David Goudreau is a Nurse Anesthetist, Certified Registered based in Providence, RI. David Goudreau practices in Providence, RI and has the professional credentials of CRNA. The NPI Number for David Goudreau is 1134194525 and holds a License No. 136964 (MA). The current practice location address for David Goudreau is 593 Eddy St, 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
1134194525
Provider Name
David Goudreau
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, 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
February 21, 2006
Last Update Date
March 28, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
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
690 Canton St
Ste 325
Westwood, MA 02090-2324
City
Westwood
State
MA
Zip
02090-2324
Phone Number
401-490-0916
Fax Number
401-490-0979

License Information

License Number
136964
License State
MA
Taxonomy
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 David Goudreau, CRNA?

The NPI number of David Goudreau, CRNA is 1134194525. It was assigned on February 21, 2006 and is currently active in the NPPES registry.

What is the specialty of David Goudreau, CRNA?

David Goudreau, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number 136964.

Where does David Goudreau, CRNA practice?

The practice location is 593 Eddy St, 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 1134194525 directly on the NPPES registry website.

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