Greensboro Anesthesia Specialists INC
Nurse Anesthetist, Certified Registered in Chester, VA. Organization (NPI-2).
NPI number1073772612
StatusActive
Last updated in NPPESDec 10, 2021
Details
- NPI
- 1073772612
- Entity type
- Organization (NPI-2)
- Legal business name
- Greensboro Anesthesia Specialists INC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2008
- Certification date
- Dec 10, 2021
- Last updated
- Dec 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
| 207L00000X | Anesthesiology | – | – |
Practice location
1714 E Hundred Rd Ste 104Chester, VA 23836-3310
Phone 888-209-0305 · Fax 952-442-3620
Mailing address
400 10th St EWaconia, MN 55387-4552
Phone 888-209-0305 · Fax 952-442-3620
Other practice locations
520 N Elam Ave
Greensboro, NC 27403-1127
Greensboro, NC 27403-1127
Phone 888-209-0305 · Fax 952-442-3620
Authorized official
John Michael Nulty
President
3363243116
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Other Certified Registered Nurse Anesthetist providers in Chester, VA
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