Provider Demographics
NPI:1518108232
Name:NAU, RYAN C (CRNA)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:C
Last Name:NAU
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:MR
Other - First Name:RYAN
Other - Middle Name:C
Other - Last Name:NAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RYAN NAU, CRNA
Mailing Address - Street 1:751 VAN DORN DR
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-9258
Mailing Address - Country:US
Mailing Address - Phone:304-283-1329
Mailing Address - Fax:
Practice Address - Street 1:1840 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2808
Practice Address - Country:US
Practice Address - Phone:540-536-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN0000274-C-CRNA367500000X
VA0024168174367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered