Individual
MATTHEW RYAN NANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(855) 903-0985
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2019046044
MO
367500000X
Certified Registered Nurse Anesthetist
30092
TN
Other
Enumeration date
12/11/2019
Last updated
01/09/2023
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