Leavenworth Anesthesia PA
NPI #1679555262 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1679555262
- Entity Type
- Organization
- Organization Name
- Leavenworth Anesthesia PA
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Nov 18, 2005
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 605 SHAWNEE ST
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-1958
- Phone
- (913) 680-0812
Authorized Official
- Name
- MRS. JEAN M COVILLO, CRNA
- Title
- PRESIDENT
- Phone
- (913) 680-0812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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