Provider Demographics
NPI:1851567457
Name:VANA, JOHN CRAIG (CRNA)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CRAIG
Last Name:VANA
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 1:4815 ALGONQUIN DR APT 3
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-7998
Mailing Address - Country:US
Mailing Address - Phone:319-331-2441
Mailing Address - Fax:
Practice Address - Street 1:4815 ALGONQUIN DR APT 3
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-7998
Practice Address - Country:US
Practice Address - Phone:319-331-2441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAD-112270367500000X
WI245814367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered