Grandview Anesthesia PC
Nurse Anesthetist, Certified Registered in Dubuque, IA. Organization (NPI-2).
NPI number1407458367
StatusActive
Last updated in NPPESDec 1, 2023
Details
- NPI
- 1407458367
- Entity type
- Organization (NPI-2)
- Legal business name
- Grandview Anesthesia PC
- Organization subpart
- No
- Enumeration date
- Nov 14, 2020
- Certification date
- Dec 1, 2023
- Last updated
- Dec 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
350 N Grandview AveDubuque, IA 52001-6388
Phone 507-459-2358
Mailing address
Po Box 49Pittsburgh, PA 15230-0049
Phone 877-746-7090 · Fax 412-937-5708
Authorized official
Phillip Guillien
Owner
5074592358
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