Individual
TROY A PRATHER
Active
Individual
TROY A PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN504960L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101382108
—
PA
01
—
1534113
BLUE SHIELD
PA
01
—
GRP528724001
BCBS
NY
Enumeration date
10/17/2005
Last updated
03/04/2021
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