Forty Winks Anesthesia, PA

NPI #1427229491 in Mayflower, Arkansas

Provider Information

NPI Number
1427229491
Entity Type
Organization
Organization Name
Forty Winks Anesthesia, PA
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Mar 18, 2008
Last Updated
Apr 23, 2008

Practice Location

Address
191 PLANTATION DR
ZIP Code
72106-8420
Phone
(501) 771-4693

Authorized Official

Name
TRACY L DAVENPORT, CRNA
Title
OWNER
Phone
(501) 771-4693

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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