Provider Demographics
NPI:1033116090
Name:AUSTIN, DAVID R (CRNA)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:R
Last Name:AUSTIN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4329 STONE BROOKE RD
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-4120
Mailing Address - Country:US
Mailing Address - Phone:515-233-2355
Mailing Address - Fax:515-233-2355
Practice Address - Street 1:4329 STONE BROOKE RD
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-4120
Practice Address - Country:US
Practice Address - Phone:515-233-2355
Practice Address - Fax:515-233-2355
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAD-056107367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered