Healthcare Provider Details

I. General information

NPI: 1194373548
Provider Name (Legal Business Name): NICE NAP ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2019
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E MINERAL AVE STE 9
LITTLETON CO
80122-2655
US

IV. Provider business mailing address

PO BOX 291202
NASHVILLE TN
37229-1202
US

V. Phone/Fax

Practice location:
  • Phone: 615-620-2320
  • Fax: 615-620-2323
Mailing address:
  • Phone: 615-620-2320
  • Fax: 615-620-2323

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: CHARLES J POPE
Title or Position: OWNER
Credential:
Phone: 615-620-2320