Provider Demographics
NPI:1578525523
Name:TOMLINSON, JOHN (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:TOMLINSON
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:PO BOX 1067
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-1067
Mailing Address - Country:US
Mailing Address - Phone:603-469-3283
Mailing Address - Fax:603-469-3278
Practice Address - Street 1:243 ELM STREET
Practice Address - Street 2:VALLEY REGIONAL HOSPITAL
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743
Practice Address - Country:US
Practice Address - Phone:603-543-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0371092311367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30344711Medicaid
VT0RE6040Medicaid
VTJOHN00069619OtherBCBS OF VT
NH275700OtherHARVARD PILGRIM
NH40Y007749NH05OtherANTHEM BCBS INDV ID
VT0RE6040Medicaid