Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derek S Poulson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1033412440

Derek S Poulson, CRNA is a Certified Registered Nurse Anesthetist in Goshen, Indiana. Licensed in Maine. Registered with an NPI since 2010.

Licensed in
ME
In the registry since
2010
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

57809 Hillside Dr
Goshen, IN 46528-4402
Phone: (801) 623-7813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AA103025 (ME)

Record details

NPI number1033412440
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 8, 2010
Last updated in NPPESNovember 18, 2013

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