# MOLINE ANESTHESIA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134683758
- **Authorized official:** JEANNE DESAUTELS (PRESIDENT)
- **Authorized official phone:** (615) 345-6900

## Contact information

- **Practice address:** 545 VALLEY VIEW DR, MOLINE, IL 61265-6138
- **Practice address phone:** (309) 762-5560
- **Mailing address:** 401 COMMERCE ST STE 600, NASHVILLE, TN 37219-2518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 01/28/2019
- **Last updated:** 01/04/2024