Organization · NPI-2

Ana Anesthesia, LLC

Nurse Anesthetist, Certified Registered · Aiken, SC

NPI number1003273517

StatusActive

Last updated in NPPESJan 28, 2016

Details

NPI: 1003273517
Entity type: Organization (NPI-2)
Legal business name: Ana Anesthesia, LLC
Organization subpart: No
Enumeration date: Jan 28, 2016
Last updated: Jan 28, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
367500000X	Nurse Anesthetist, Certified Registered	–	–	Yes

Practice location

103 Gregg Ave Nw
Suite 100
Aiken, SC 29801-3096

Phone 803-226-0434 · Fax 336-553-3994

Mailing address

Po Box 18666
Greensboro, NC 27419-8666

Phone 336-553-1659 · Fax 336-553-3994

Authorized official

Brenda Fox
Credentialing Specialist
3365533999

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.