IndividualActive
Andrew Chisholm, CRNA
NPI 1063650976 · Certified Registered Nurse Anesthetist · Providence, RI
Provider details
- NPI number
- 1063650976
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RNA00047-G (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
593 Eddy Street
Davol 129
Providence, RI 02903-4923
Phone: (401) 444-4933
Fax: (401) 444-5090
Approximate (ZIP-level) locationGet directions
Mailing address
One Virginia Avenue
Providence, RI 02905
Additional practice locations (1)
- 101 Dudley StProvidence, RI 02905-2401Phone: (401) 453-7950Fax: (401) 453-7658
Registry dates
- Enumerated
- 2009-01-30
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.