WALDRON UPHAM CRNA
NPI 1023135324
Nurse Anesthetist, Certified Registered in Anchorage, AK

Q: What is Waldron Upham's NPI number?

The NPI number for Waldron Upham is 1023135324. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Q: What is Waldron Upham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Waldron Upham was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2007

4100 LAKE OTIS PKWY, ANCHORAGE, AK 99508(907) 550-6110 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Waldron Upham Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALDRON UPHAM CRNA (NPI 1023135324) is an individual nurse anesthetist, certified registered in Anchorage, Alaska, licensed in Alaska (260) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1023135324

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameWALDRON UPHAMCredential: CRNA

Location Address4100 LAKE OTIS PKWYAnchorage, AK 99508-5222

Mailing AddressPo Box 29211Phoenix, AZ 85038-9211 · (602) 273-6770 · Fax (602) 889-0489

Phone(907) 550-6110

Sole ProprietorNo

Enumeration DateMarch 23, 2007

Last NPPES UpdateDecember 7, 2007

✔ NPI 1023135324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in AK · 260

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

4100 LAKE OTIS PKWY, Anchorage, AK 99508

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Other Identifiers 2

Medicare PINK153252AK

Medicare UPINR93033AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLIEGH LEVESQUE CSFA

Specialist/Technologist, Other (Surgical Assistant)

4100 LAKE OTIS PKWY
ANCHORAGE, AK 99508

Anchorage Municipality (907) 563-4810

LOREN J JENSEN MD

Orthopaedic Surgery

4100 LAKE OTIS PKWY, SUITE 314
ANCHORAGE, AK 99508

Anchorage Municipality (907) 274-2425

MARK ANDREW MALZAHN P.A.-C.

Physician Assistant (Medical)

4100 LAKE OTIS PKWY, #302
ANCHORAGE, AK 99508

Anchorage Municipality (907) 563-7072

MRS. JENNIFER RAE AMBROSE CRNA

Nurse Anesthetist, Certified Registered

4100 LAKE OTIS PKWY, SUITE 222
ANCHORAGE, AK 99508

Anchorage Municipality (612) 269-1918

DR. MICHELLE L ROBERTSON PHARMD

Pharmacist

4100 LAKE OTIS PKWY, SUITE #200
ANCHORAGE, AK 99508

Anchorage Municipality (907) 562-2138

MARC WHITMAN PT

Physical Therapist

4100 LAKE OTIS PKWY
ANCHORAGE, AK 99508

Anchorage Municipality (907) 563-8318

U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

4100 LAKE OTIS PKWY, SUITE 100
ANCHORAGE, AK 99508

Anchorage Municipality (907) 563-4006

ABIGAIL L GRANATH PA-C

Physician Assistant

4100 LAKE OTIS PKWY, SUITE 320
ANCHORAGE, AK 99508

Anchorage Municipality (907) 563-4810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waldron Upham's NPI number?

The NPI number for Waldron Upham is 1023135324. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Waldron Upham located?

Waldron Upham practices at 4100 Lake Otis Pkwy, Anchorage, AK 99508. The listed phone number is (907) 550-6110.

What is Waldron Upham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Waldron Upham was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.