Individual
JOEL EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-3830
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-3830
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
090177
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106757
—
IA
05
—
1106757
—
IA
Enumeration date
05/17/2006
Last updated
07/09/2007
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