Individual
RICHARD WESTEN BREEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 276-4378
(812) 275-1246
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28179066A
IN
367500000X
Certified Registered Nurse Anesthetist
5141A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102568552
ANTHEM PTAN
IN
01
—
163460046
MEDICARE PTAN
IN
05
—
200938120
—
IN
01
—
940070022
MEDICARE PTAN
IN
Enumeration date
07/17/2006
Last updated
05/31/2024
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