MICAH TIMOTHY AMOS CRNA
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1730684176- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CRNA
- Status
- Active
Contact & Location
- Address
- 300 N 7TH ST, BISMARCK, ND, 585014439
- Phone
- (402) 717-4866
- Fax
- (402) 818-2088
Specialties & Taxonomies
Registered Nurse
License: SD #R041434
Nurse Anesthetist, Certified Registered
License: IA #D150890
Nurse Anesthetist, Certified Registered
Primary License: ND #R54023