Sundance Anesthesia LLC
Nurse Anesthetist, Certified Registered in Spokane, WA. Organization (NPI-2).
NPI number1467167221
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1467167221
- Entity type
- Organization (NPI-2)
- Legal business name
- Sundance Anesthesia LLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2023
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
6002 S Yale RdSpokane, WA 99223-1744
Phone 509-990-5997 · Fax 509-228-9542
Mailing address
6002 S Yale RdSpokane, WA 99223-1744
Phone 509-990-5997 · Fax 509-228-9542
Authorized official
Kerri Wagner
Owner
5099261770
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