Individual
TRENT COLIN BLACKWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNAP
Contact information
Practice address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
Mailing address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
13119182
KS
367500000X
Certified Registered Nurse Anesthetist
43-557501-011
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61555786
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14033145
CAQH
—
Enumeration date
05/10/2017
Last updated
02/05/2026
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