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Mr. Norman Blake Moore JR., CRNA
Certified Registered Nurse Anesthetist in Hattiesburg, Mississippi
NPI 1225030372

Norman Blake Moore JR. is a Certified Registered Nurse Anesthetist based in Mobile, MS. Norman Blake Moore JR. practices in Hattiesburg, MS and has the professional credentials of CRNA. The NPI Number for Norman Blake Moore JR. is 1225030372 and holds a License No. 901401 (Mississippi).

The current practice location address for Norman Blake Moore JR. is 415 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-261-3606 and via fax at 601-579-5383. You can also correspond with Norman Blake Moore JR. through the mailing address at 2890 DAUPHIN ST, MOBILE, AL - 36606-2457 (mailing address contact number: 601-261-3606).

Location: 415 S 28Th Ave, Hattiesburg, MS, 36606-2457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225030372
Provider Name
Norman Blake Moore JR.
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
415 S 28Th Ave, Hattiesburg, MS, 36606-2457
Phone Number
601-261-3606
Fax Number
601-579-5383
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01934777 05 MS
institution
Provider Business Practice Location Address Details
Address
415 S 28Th Ave
City
Hattiesburg
State
Mississippi
Zip
39401-7246
Phone Number
601-261-3606
Fax Number
601-579-5383
person
Provider Business Mailing Address Details
Address
2890 Dauphin St
City
Mobile
State
Alabama
Zip
36606-2457
Phone Number
601-261-3606
Fax Number
601-579-5240
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
901401 (Mississippi)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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