Organization
IMPACT ANESTHESIA NURSING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE GARST CRNA (PRESIDENT)
(619) 788-4408
Entity
Organization
Contact information
Practice address
555 W MAIN AVE, MORGAN HILL, CA 95037-4139
(619) 788-4408
Mailing address
555 W MAIN AVE, MORGAN HILL, CA 95037-4139
(619) 788-4408
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000471
CA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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