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WILLIAM C MOORE CRNA
NPI 1114963451
Nurse Anesthetist, Certified Registered in Lake Elmo, MN

Active since June 22, 2006
8650 HUDSON BLVD N, LAKE ELMO, MN 55042(651) 702-7400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William C Moore Crna NPPES

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

WILLIAM C MOORE CRNA (NPI 1114963451) is an individual nurse anesthetist, certified registered in Lake Elmo, Minnesota, licensed in Minnesota (R070888-1) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1114963451
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameWILLIAM C MOORECredential: CRNA
Location Address8650 HUDSON BLVD NLake Elmo, MN 55042-9747
Mailing Address14700 28th Ave N, Suite 20Plymouth, MN 55447-4835 · (763) 559-3779 · Fax (763) 450-3986
Phone(651) 702-7400
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114963451 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 MN · R070888-1
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.
8650 HUDSON BLVD N, Lake Elmo, MN 55042
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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.

MICHELLE CUNNINGHAM
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N, SUITE 235
LAKE ELMO, MN 55042
Washington County (651) 702-7400
JOHN R LOWE CRNA
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (651) 702-7400
JAMES R BENYON CRNA
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (651) 702-7400
MOLLY L SORENSON PT
Physical Therapist
8650 HUDSON BLVD N, SUITE 310
LAKE ELMO, MN 55042
Washington County (651) 702-6932
MARK L THURNBECK OTR
Occupational Therapist
8650 HUDSON BLVD N, SUITE 310
LAKE ELMO, MN 55042
Washington County (651) 702-6932
LAKEVIEW HOSPITAL INC.
Pharmacy (Clinic Pharmacy)
8650 HUDSON BLVD N, SUITE 100
LAKE ELMO, MN 55042
Washington County (651) 702-7212
MARK J MAYRY CRNA
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (651) 702-7400
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Dentist (Endodontics)
8650 HUDSON BLVD N, SUITE 105
LAKE ELMO, MN 55042
Washington County (651) 714-9477

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 William Moore's NPI number?

The NPI number for William Moore is 1114963451. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is William Moore located?

William Moore practices at 8650 Hudson Blvd N, Lake Elmo, MN 55042. The listed phone number is (651) 702-7400.

What is William Moore'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 William Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.