Individual
RHETT JORGENSEN
Active
Individual
RHETT JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001314754
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024192351
VA
Other
Enumeration date
03/03/2023
Last updated
05/29/2026
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