Healthcare Provider Details

I. General information

NPI: 1437585833
Provider Name (Legal Business Name): ANESTHESIA RELIEF STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2013
Last Update Date: 09/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E 8TH AVE SUITE 3A
ANCHORAGE AK
99501-3615
US

IV. Provider business mailing address

PO BOX 41
MUNCIE IN
47308-0041
US

V. Phone/Fax

Practice location:
  • Phone: 907-242-9864
  • Fax:
Mailing address:
  • Phone: 765-284-0493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number195
License Number StateAK

VIII. Authorized Official

Name: SHEILA JENSEN
Title or Position: OWNER/CRNA
Credential:
Phone: 907-242-9864