MEDICARE: NEVADA ANESTHESIA PROFESSIONALS LLC

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	207L00000X	Anesthesiology Physician
2	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1639498702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA ANESTHESIA PROFESSIONALS LLC

Provider Business Mailing Address
First Line	:	3524 MORENO CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6312
Country	:	US
Telephone Number	:	508-971-6194
Fax Number	:	702-998-6977

Provider Business Practice Location Address
First Line	:	3524 MORENO CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6312
Country	:	US
Telephone Number	:	508-971-6194
Fax Number	:	702-998-6977

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NORMA F SORELLE
Credential	:	CRNA
Telephone Number	:	508-971-6194

Provider Enumeration Date	:	05/27/2010
Last Update Date	:	01/02/2014

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