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Wallace Adam Goforth
Certified Registered Nurse Anesthetist in Carbondale, Illinois
NPI 1497295901

Wallace Adam Goforth is a Certified Registered Nurse Anesthetist based in Carbondale, IL. Wallace Adam Goforth practices in Carbondale, IL. The NPI Number for Wallace Adam Goforth is 1497295901 and holds a License No. 041.449328 (Illinois).

The current practice location address for Wallace Adam Goforth is 405 W Jackson St, Carbondale, IL and can be reached out via phone at 618-549-0721.

Location: 405 W Jackson St, Carbondale, IL, 62903-7647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497295901
Provider Name
Wallace Adam Goforth
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 W Jackson St, Carbondale, IL, 62903-7647
Phone Number
618-549-0721
Fax Number
Provider Enumeration Date
03/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 W Jackson St
City
Carbondale
State
Illinois
Zip
62901-1462
Phone Number
618-549-0721
Fax Number
person
Provider Business Mailing Address Details
Address
405 W Jackson St
City
Carbondale
State
Illinois
Zip
62901-1462
Phone Number
618-549-0721
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
857695 (New York)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
041.449328 (Illinois)
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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