Provider Demographics
NPI:1225027410
Name:CASWELL, ARNOLD LEROY (CRNA)
Entity Type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:LEROY
Last Name:CASWELL
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 FRANCIS SITES DR
Mailing Address - Street 2:
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51360-1882
Mailing Address - Country:US
Mailing Address - Phone:712-336-2912
Mailing Address - Fax:
Practice Address - Street 1:2601 FRANCIS SITES DR
Practice Address - Street 2:
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360-1882
Practice Address - Country:US
Practice Address - Phone:712-336-2912
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 060813-0367500000X
IAD-040679367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered