MEDICARE: CMB ANESTHESIA ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1538286661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMB ANESTHESIA ASSOCIATES INC

Provider Business Mailing Address
First Line	:	PO BOX 60596
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89160-0596
Country	:	US
Telephone Number	:	702-795-8808
Fax Number	:	702-795-8809

Provider Business Practice Location Address
First Line	:	1785 E SAHARA AVE STE 320
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3717
Country	:	US
Telephone Number	:	702-795-8808
Fax Number	:	702-795-8809

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PATRICIA A LAROSS
Credential	:	CRNA
Telephone Number	:	702-795-8808

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	02/13/2008

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