Provider Demographics
NPI:1912225533
Name:ATCHISON, BRIAN DUANE (CRNA)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:DUANE
Last Name:ATCHISON
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 1:6000 WEST HIGHWAY 98
Mailing Address - Street 2:NAVAL HOSPITAL
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-0003
Mailing Address - Country:US
Mailing Address - Phone:850-505-6934
Mailing Address - Fax:
Practice Address - Street 1:6000 W HIGHWAY 98 NAVAL HOSPITAL
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32512-0003
Practice Address - Country:US
Practice Address - Phone:850-505-6934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001900583367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered