Justin Lee Baecht, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · O Fallon, IL

NPI

1801034491

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

041350805 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-02-04

Last updated

2021-12-29