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Marissa Dyanne Weaver, CRNA
Certified Registered Nurse Anesthetist in Streator, Illinois
NPI 1700110996

Marissa Dyanne Weaver is a Certified Registered Nurse Anesthetist based in Decatur, IL. Marissa Dyanne Weaver practices in Streator, IL and has the professional credentials of CRNA. The NPI Number for Marissa Dyanne Weaver is 1700110996 and holds a License No. 041-303587 (Illinois).

The current practice location address for Marissa Dyanne Weaver is 111 Spring St, Streator, IL and can be reached out via phone at 815-673-2311 and via fax at 815-673-4592. You can also correspond with Marissa Dyanne Weaver through the mailing address at 1800 E LAKE SHORE DR, DECATUR, IL - 62521-3810 (mailing address contact number: 217-464-2729).

Location: 111 Spring St, Streator, IL, 62521-3810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700110996
Provider Name
Marissa Dyanne Weaver
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
111 Spring St, Streator, IL, 62521-3810
Phone Number
815-673-2311
Fax Number
815-673-4592
Provider Enumeration Date
09/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Spring St
City
Streator
State
Illinois
Zip
61364-3332
Phone Number
815-673-2311
Fax Number
815-673-4592
person
Provider Business Mailing Address Details
Address
1800 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3810
Phone Number
217-464-2729
Fax Number
217-464-1693
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
041-303587 (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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