IndividualActive
Anthony Simon, CRNA
NPI 1245938505 · Certified Registered Nurse Anesthetist · Elkhart, IN
Provider details
- NPI number
- 1245938505
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 28250920A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
600 East Blvd
Elkhart, IN 46514
Phone: (574) 524-8130
Approximate (ZIP-level) locationGet directions
Mailing address
3245 Health Drive
Granger, IN 46530
Registry dates
- Enumerated
- 2023-02-16
- Last updated
- 2023-08-21
- Certified
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.