# FAZIO ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1942961156
- **Authorized official:** VALERIE FAZIO CRNA, APRN (ORGANIZER/REGISTERED AGENT)
- **Authorized official phone:** (502) 418-8561

## Contact information

- **Practice address:** 9202 LEESGATE RD, LOUISVILLE, KY 40222-5001
- **Practice address phone:** (502) 637-4800
- **Mailing address:** 14402 BROOK FOREST PL, LOUISVILLE, KY 40245-5208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2022
- **Last updated:** 01/10/2022