Provider Demographics
NPI:1710962519
Name:BARNHILL, WILLIAM K (CRNA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:K
Last Name:BARNHILL
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 1:3500 EDGEWOOD RD NE
Mailing Address - Street 2:APT 201
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-7588
Mailing Address - Country:US
Mailing Address - Phone:319-540-1460
Mailing Address - Fax:
Practice Address - Street 1:3500 EDGEWOOD RD NE
Practice Address - Street 2:APT 201
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-7588
Practice Address - Country:US
Practice Address - Phone:319-540-1460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA119257363L00000X
IAD119257367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK04981Medicare ID - Type Unspecified