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Certifications

Certifications

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Certifications
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NBCRNA
Certification # Type Exp. Date
74273 Board 07/31/2024
ACLS
Certification # Type Exp. Date
N/A CEU 11/19/2024
BLS
Certification # Type Exp. Date
N/A CEU 06/13/2025
NRP
Certification # Type Exp. Date
N/A CEU 02/28/2023
PALS
Certification # Type Exp. Date
N/A CEU 03/30/2025
AANA
Certification # Type Exp. Date
74273 Membership 08/31/2024
DEA
Certification # Type Exp. Date
MC2942224 Alaska License 08/31/2025
DEA
Certification # Type Exp. Date
MC6025200 Washington License 08/31/2026
NPPES
Certification # Type Exp. Date
NPI 1861437337 Provider Number N/A
Certifications
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To view and download a copy of the ACLS, BLS, or PALS certificates, Click on the View Card buttons for a printable/downloadable pdf file. A UserId and Password are required for downloading the DEA card. You can request an ID and Password   HERE.

Certification Name Certification # Type Status Issue Date Expiration Date
NBCRNA-National Board of Certification & Recertification for Nurse Anesthetists
74273
Board Active 02/01/2006 07/31/2024
ACLS-Advanced Cardiac Life Support CEU Active 12/03/2020 11/19/2024
BLS-Basic Life Support CEU Active 07/15/2021 06/13/2025
PALS-Pediatric Advanced Life Support CEU Active 03/30/2023 03/30/2025
AANA-American Association of Nurse Anesthetists
74273
Membership Active 08/31/2018 08/31/2024
DEA-Drug Enforcement Agency- Alaska MC2942224 License Active 09/02/2010 08/31/2025
DEA-Drug Enforcement Agency- Washington MC6025200 License Active 08/24/2020 08/31/2026
NPPES-National Plan & Provider Enumeration System NPI 1861437337 Provider Number Active Dec. 2005 N/A