Jeffery W Edstrom
Jeffery W Edstrom is a Certified Registered Nurse Anesthetist (CRNA) in Buffalo, Wyoming. Qualified in 2000, 26 years ago. Practices with Family Medical Center, a 22-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 26
- Licensed in
- WI
- In the registry since
- 2005
Practice location Address checks out
497 W Lott StBuffalo, WY 82834-1658
Phone: (307) 684-5521
Fax: (307) 684-5385
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 129337 (WI) |
|---|
Record details
| NPI number | 1164427274 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2005 |
| Last updated in NPPES | June 3, 2014 |
| Mailing address | 553 N Pinnacle Dr, Buffalo, WY 82834-1416 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Family Medical Center — 22 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |