Healthcare Provider Details
I. General information
NPI: 1699178327
Provider Name (Legal Business Name): NURSE ANESTHESIA PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2014
Last Update Date: 09/25/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
216 WASHINGTON HEIGHTS MED CTR STE B
WESTMINSTER MD
21157-5665
US
IV. Provider business mailing address
92B CEMETERY AVE
STEWARTSTOWN PA
17363-4021
US
V. Phone/Fax
- Phone: 410-857-5113
- Fax:
- Phone: 410-688-1472
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
L
HOFF
Title or Position: OWNER/PRESIDENT
Credential: CRNA
Phone: 410-688-1472