Individual
MR. JOHN THAYER EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-3551
(432) 447-5434
Mailing address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-3551
(432) 447-5434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP115284
TX
367500000X
Certified Registered Nurse Anesthetist
RN043542
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023413
CRNA CERTIFICATION NUMBER
TN
05
—
202890402
—
TX
Enumeration date
04/14/2006
Last updated
08/31/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us