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Cassidy B Waterman, CRNA
Certified Registered Nurse Anesthetist in Pocatello, Idaho
NPI 1750691929

Cassidy B Waterman is a Certified Registered Nurse Anesthetist based in Pocatello, ID. Cassidy B Waterman practices in Pocatello, ID and has the professional credentials of CRNA. The NPI Number for Cassidy B Waterman is 1750691929 and holds a License No. RNA-781 (Idaho).

The current practice location address for Cassidy B Waterman is 1950 E Clark St, Pocatello, ID and can be reached out via phone at 208-232-7760 and via fax at 208-232-1950.

Location: 1950 E Clark St, Pocatello, ID, 83201-5175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750691929
Provider Name
Cassidy B Waterman
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1950 E Clark St, Pocatello, ID, 83201-5175
Phone Number
208-232-7760
Fax Number
208-232-1950
Provider Enumeration Date
10/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CD5673 01 ID RR GROUP LEGACY NUMBER
P00956855 01 INDIVIDUAL RR MEDICARE
1604930 01 ID MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1950 E Clark St
City
Pocatello
State
Idaho
Zip
83201-3314
Phone Number
208-232-7760
Fax Number
208-232-1950
person
Provider Business Mailing Address Details
Address
1950 E Clark St
City
Pocatello
State
Idaho
Zip
83201-3314
Phone Number
208-232-7760
Fax Number
208-232-1950
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
RNA-781 (Idaho)
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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