National Provider Identifier

Charles P Hatlestad, CRNA

Charles P Hatlestad, CRNA is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Rochester, NY and a listed phone number of (585) 275-5982.

NPI 1497789408Rochester, NYCertified Registered Nurse Anesthetist

Profile Overview

NPI
1497789408
Provider Type
Individual
Primary Specialty
Certified Registered Nurse Anesthetist
Enumeration Date
July 10, 2006
Last Updated
July 09, 2007

Practice Location

  • 601 Elmwood Ave
  • Box 604
  • Rochester, NY 14642-0001

Phone: (585) 275-5982

Specialties

  • Certified Registered Nurse Anesthetist (367500000X)
Full Record
NPI
1497789408
Entity Type
Individual
Last Name
Hatlestad
First Name
Charles
Middle Name
P
Credential
CRNA
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 604
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-5982
Mailing Fax
(585) 756-0169
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Box 604
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-5982
Practice Fax
(585) 756-0169
Enumeration Date
July 10, 2006
Last Updated
July 09, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Certified Registered Nurse Anesthetist (367500000X)
Other Identifiers
2222 (NY, Blue Shield Group#)