Individual
JOE RICHARD PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
651 WEST MARION ROAD, MT. GILEAD, OH 43338
(419) 949-3098
Mailing address
PO BOX 1807, MARION, OH 43301-1807
(740) 383-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN238732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2145477
—
OH
Enumeration date
02/13/2007
Last updated
10/22/2012
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