# NURSE ANESTHESIA PROVIDERS, INC

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

## Provider details

- **NPI number:** 1275749228
- **Authorized official:** ROBIN W SEALE CRNA (OWNER)
- **Authorized official phone:** (601) 260-2350

## Contact information

- **Practice address:** 3353 N GLOSTER ST, TUPELO, MS 38804-9735
- **Practice address phone:** (662) 407-0334
- **Practice address fax:** (662) 407-0335
- **Mailing address:** PO BOX 85, BRANDON, MS 39043-0085
- **Mailing address phone:** (601) 260-2350
- **Mailing address fax:** (601) 706-4175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | R686891 | MS | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 10/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08508830 | — | MS |
| 01 | — | 1275512410 | INDIVIDUAL NPI | MS |
| 01 | — | 426332234B | BCBS OF MS | MS |
| 01 | — | P00367222 | RR MEDICARE | MS |