Individual
RICHARD CARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
195 OVERTHRUST RD., EVANSTON, WY 82930-9266
(307) 444-3600
(307) 789-3760
Mailing address
PO BOX 1477, EVANSTON, WY 82931-1477
(307) 789-1219
(307) 789-3760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21113.785
WY
367500000X
Certified Registered Nurse Anesthetist
264797-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118226900
—
WY
01
—
311872
BLUE CROSS BLUE SHIELD
WY
01
—
P00023100
RAILROAD MEDICARE
WY
Enumeration date
11/11/2006
Last updated
08/30/2012
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