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Eddie J Wickline, CRNA
Certified Registered Nurse Anesthetist in Elkhart, Indiana
NPI 1891805503

Eddie J Wickline is a Certified Registered Nurse Anesthetist based in Elkhart, IN. Eddie J Wickline practices in Elkhart, IN and has the professional credentials of CRNA. The NPI Number for Eddie J Wickline is 1891805503 and holds a License No. 28137996A (Indiana).

The current practice location address for Eddie J Wickline is 2310 California Rd, Elkhart, IN and can be reached out via phone at 574-264-0791 and via fax at 574-262-9650.

Location: 2310 California Rd, Elkhart, IN, 46514-1228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891805503
Provider Name
Eddie J Wickline
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
2310 California Rd, Elkhart, IN, 46514-1228
Phone Number
574-264-0791
Fax Number
574-262-9650
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200295510 05 IN
institution
Provider Business Practice Location Address Details
Address
2310 California Rd
City
Elkhart
State
Indiana
Zip
46514-1228
Phone Number
574-264-0791
Fax Number
574-262-9650
person
Provider Business Mailing Address Details
Address
2310 California Rd
City
Elkhart
State
Indiana
Zip
46514-1228
Phone Number
574-264-0791
Fax Number
574-262-9650
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
28137996A (Indiana)
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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