Healthcare Provider Details
I. General information
NPI: 1154668085
Provider Name (Legal Business Name): ANESTHESIA ANSWERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2013
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3107 N SAWYER CIR
MESA AZ
85207-0900
US
IV. Provider business mailing address
PO BOX 6696
CORPUS CHRISTI TX
78466-6696
US
V. Phone/Fax
- Phone: 361-985-1221
- Fax: 361-992-1667
- Phone: 361-985-1221
- Fax: 361-992-1667
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JACKIE
BRANNIGAN
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 361-985-1221