Individual provider · NPI-1

Jonathan Aasen

Anesthesiologist Assistant · Tallahassee, FL

NPI number1235641200
StatusActive
Last updated in NPPESOct 31, 2017

Details

NPI
1235641200
Entity type
Individual (NPI-1)
Name
Mr. Jonathan Aasen
Sex
Male
Sole proprietor
No
Enumeration date
Oct 31, 2017
Last updated
Oct 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant––Yes

Practice location

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Phone 850-431-1155

Mailing address

6 Quaker Ln
Greenville, RI 02828-2111

Phone 508-463-5557

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