IndividualActive
Jedidiah Polete, CRNA
NPI 1336560028 · Certified Registered Nurse Anesthetist · Henderson, NV
Provider details
- NPI number
- 1336560028
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- AP09081 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
129 W Lake Mead Pkwy
Suite B18
Henderson, NV 89015-6954
Phone: (702) 564-4440
Fax: (702) 558-1522
Approximate (ZIP-level) locationGet directions
Mailing address
1444 Peterman Dr
Alexandria, LA 71301-3432
Registry dates
- Enumerated
- 2013-12-23
- Last updated
- 2017-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.