CORRIDOR KETAMINE LLC NPI 1356099154

NPI Details

CORRIDOR KETAMINE LLC is a nurse anesthetist certified registered in Coralville, IA. 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. CORRIDOR KETAMINE LLC NPI is 1356099154. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1900 JAMES ST STE 1
CORALVILLE, IA
ZIP 52241-895
Phone: (319) 337-8329

The provider's authorized official is Jennifer Cecil Sassman .
The authorized official title is Arnp/credentialing and has the following contact phone number (319) 337-8329.

The CLIA number assigned to this NPI record is 16D2301537 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2022 and was last updated on 6/19/2025.

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: