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Alex Witcher, DNP, CRNA — NPI 1457879330, Carterville, IL | NPI Central

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NPI 1457879330

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Alex Witcher, DNP, CRNA

NPI 1457879330 · Certified Registered Nurse Anesthetist · Carterville, IL

Provider details

NPI number: 1457879330
Entity type: Individual
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
Credential: DNP, CRNA
Sex: Male
Sole proprietor: No
License: 041.453211 (IL)

Specialties & taxonomies

Certified Registered Nurse AnesthetistPrimary367500000XLicense 2023043288 (MO)
Physician Assistants & Advanced Practice Nursing Providers
Registered Nurse163W00000XLicense 041.453211 (IL)
Nursing Service Providers
Anesthesiology Physician207L00000XLicense 114630 (IL)
Allopathic & Osteopathic Physicians

Practice location

307 Pennsylvania Ave

Carterville, IL 62918

Phone: (256) 339-2637

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

307 Pennsylvania Ave

Carterville, IL 62918

Additional practice locations (1)

One Hospital Dr
Columbia, MO 65212-0001
Phone: (573) 882-2568
Fax: (855) 903-0985

Registry dates

Enumerated: 2017-08-31
Last updated: 2024-02-29
Certified: 2024-02-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.