Healthcare Provider Details

I. General information

NPI: 1154888931
Provider Name (Legal Business Name): ANESTHESIA MANAGEMENT PARTNERS A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1337 S LOVERS LN
VISALIA CA
93292-5249
US

IV. Provider business mailing address

PO BOX 34120
RENO NV
89533-4120
US

V. Phone/Fax

Practice location:
  • Phone: 559-733-7888
  • Fax: 559-733-2521
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRANDON LEE
Title or Position: PARTNER
Credential: CRNA
Phone: 559-733-7888