Active NPIIndividual providerSole proprietor

Dr. Rudolph Pavlesich III, DNP, CRNA, FNP-BC

Nurse Anesthetist, Certified Registered in Plymouth, New Hampshire

NPI Number1609265065
Practice location
16 Hospital RD, Plymouth, NH 03264-1126
Fax
—
Last updated
May 17, 2020

Rudolph Pavlesich is a Nurse Anesthetist, Certified Registered based in Plymouth, NH. Rudolph Pavlesich practices in Plymouth, NH and has the professional credentials of DNP, CRNA, FNP-BC. The NPI Number for Rudolph Pavlesich is 1609265065 and holds a License No. 281215 (GA). The current practice location address for Rudolph Pavlesich is 16 Hospital RD, Plymouth, NH 03264-1126 and can be reached out via phone at 603-536-1120.

Provider Profile Details

NPI Number
1609265065
Provider Name
Rudolph Pavlesich
Credential
DNP, CRNA, FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
16 Hospital RD, Plymouth, NH 03264-1126
Phone Number
603-536-1120
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
January 22, 2015
Last Update Date
May 17, 2020
Certification Date
May 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Hospital RD
Plymouth, NH 03264-1126
Zip
03264-1126
Phone Number
603-536-1120
Plymouth, NH 03264Get directions →

Provider Business Mailing Address Details

Address
89 Stevens Hill RD
Nottingham, NH 03290-4802
City
Nottingham
State
NH
Zip
03290-4802
Phone Number
904-535-1875

License Information

License Number (1)
281215
License State (1)
GA
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
ARNP9178468
License State (2)
FL
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
074985-23
License State (3)
NH
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (4)
2017019797
License State (4)
FL
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X

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 Dr. Rudolph Pavlesich III, DNP, CRNA, FNP-BC?

The NPI number of Dr. Rudolph Pavlesich III, DNP, CRNA, FNP-BC is 1609265065. It was assigned on January 22, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Rudolph Pavlesich III, DNP, CRNA, FNP-BC?

Dr. Rudolph Pavlesich III, DNP, CRNA, FNP-BC is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in GA under license number 281215.

Where does Dr. Rudolph Pavlesich III, DNP, CRNA, FNP-BC practice?

The practice location is 16 Hospital RD, Plymouth, NH 03264-1126. The office can be reached at 603-536-1120 (phone).

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 1609265065 directly on the NPPES registry website.

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