JOHN WADE FOGARTY CRNA NPI 1043862345

NPI Information

NPI: 1043862345
Provider Name: JOHN WADE FOGARTY, CRNA
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: NURSE ANESTHESIA SERVICES PA Address:
6500 EXCELSIOR BLVD
MINNEAPOLIS, MN
ZIP 55426
Phone: (952) 993-5000
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John Wade Fogarty, CRNA is a critical care medicine registered nurse in Minneapolis, MN with 5 years of experience. John Wade Fogarty, CRNA NPI is 1043862345. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6500 EXCELSIOR BLVD
MINNEAPOLIS, MN
ZIP 55426-700
Phone: (952) 993-5000

The enumeration date for this NPI number is 7/16/2019 and was last updated on 7/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	R244208-0	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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