Provider Demographics
NPI:1316696305
Name:SENALDI, HARRY EVERRETT JR (CRNA)
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:EVERRETT
Last Name:SENALDI
Suffix:JR
Gender:
Credentials:CRNA
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Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:800-862-9980
Mailing Address - Fax:314-362-1185
Practice Address - Street 1:2 PROGRESS POINT PKWY
Practice Address - Street 2:DEPT ANESTHESIOLOGY
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-2205
Practice Address - Country:US
Practice Address - Phone:800-862-9980
Practice Address - Fax:314-362-1185
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2025-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2022018217367500000X
IL209025236367500000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO910122257Medicaid