Genesis 221 Anesthesia Services, LLC

NPI #1235686965 in Carson City, Nevada

Provider Information

NPI Number
1235686965
Entity Type
Organization
Organization Name
Genesis 221 Anesthesia Services, LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Sep 11, 2016
Last Updated
Sep 15, 2016

Practice Location

Address
1299 MOUNTAIN ST
State
Nevada
ZIP Code
89703-3816
Phone
(775) 882-4477

Authorized Official

Name
MRS. TRINA LEANNE ANTONELLI, C.R.N.A.
Title
MANAGING MEMBER
Phone
(810) 845-1510

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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