Individual
DARREN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
151060
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125164
BCBS
MO
05
—
918811001
—
MO
01
—
P00069748
RR MEDICARE
MO
Enumeration date
02/03/2006
Last updated
08/11/2025
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