Organization
SEFTON ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DYAN L SEFTON CRNA (OWNER)
(812) 738-7606
Entity
Organization
Contact information
Practice address
2200 MARKET ST, C/O ST CATHERINE'S REGIONAL HOSPITAL, CHARLESTOWN, IN 47111-9553
(812) 256-7676
(812) 256-7419
Mailing address
4680 OLD FOREST RD SW, PO BOX 952, CORYDON, IN 47112-6437
(812) 738-7606
(812) 634-7152
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28104181A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000286565
ANTHEM BCBS
IN
01
—
1477647527
DYAN SEFTON PERSONAL PROVIDER NPI#
IN
05
—
200103090B
—
IN
Enumeration date
11/01/2006
Last updated
08/12/2008
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