Edwin Yanul Disla, CRNA

Certified Registered Nurse Anesthetist · Melbourne, FL

Individual Active NPI

NPI number 1497098412

Practice location

1350 Hickory St
Melbourne, FL 32901-3224
Phone
(321) 434-7000

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NPI record

NPI
1497098412
Entity type
Individual (Type 1)
Enumeration date
March 27, 2013
Last updated
June 29, 2026
Certified
June 29, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Certified Registered Nurse Anesthetist Primary 367500000X APRN3089142 FL
Certified Registered Nurse Anesthetist 367500000X RN3089142 FL

Mailing address

11921 Nautica Dr
Orlando, FL 32827-7119
Phone
(321) 278-8848

About Edwin Disla

Edwin Yanul Disla, CRNA is a healthcare provider registered in the NPI registry with the primary taxonomy Certified Registered Nurse Anesthetist (code 367500000X). The practice location is 1350 Hickory St, Melbourne, FL 32901-3224. The NPI number 1497098412 was assigned on March 27, 2013 and the record was last updated on June 29, 2026.

Edwin Disla lists 2 licenses in the registry: #APRN3089142 (FL) for Certified Registered Nurse Anesthetist; #RN3089142 (FL) for Certified Registered Nurse Anesthetist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edwin Yanul Disla, CRNA?

The NPI number is 1497098412.

What is the phone number of Edwin Disla?

The phone number listed for the practice location is (321) 434-7000.

Where is Edwin Disla located?

1350 Hickory St, Melbourne, FL 32901-3224.

What is the taxonomy code for Edwin Disla?

The primary taxonomy code is 367500000X – Certified Registered Nurse Anesthetist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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