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KELLY LYNN PIETAN CRNA NPI 1336388982


NPI Information

NPI: 1336388982
Provider Name: KELLY LYNN PIETAN, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
655 W 8TH ST
UFJAX - DEPT. OF ANESTHESIOLOGY
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-4195
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Kelly Lynn Pietan, CRNA is a nurse anesthetist certified registered in Jacksonville, FL with 16 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Kelly Lynn Pietan, CRNA NPI is 1336388982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

655 W 8TH ST
UFJAX - DEPT. OF ANESTHESIOLOGY
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-4195
Fax: (904) 244-4908

The enumeration date for this NPI number is 2/5/2009 and was last updated on 12/23/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified RegisteredARNP9184815FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BL477ZMEDICARE PINFLORIDA
2602083230BMEDICAIDGEORGIA
3602083230AMEDICAIDGEORGIA
4602083230CMEDICAIDFLORIDA
50007980-00MEDICAIDFLORIDA
6P00768031MEDICARE PINFLORIDA

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: 4/28/2024

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