Individual
DAVID A CARLSON
Active
Individual
DAVID A CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R51211
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
835069
—
AZ
05
—
84746
—
NM
05
—
91575257
—
NM
01
—
942054
PRONET / AETNA
NM
01
—
NM006892
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/01/2005
Last updated
02/25/2010
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