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Organization

NORTHWEST ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAYLOR HABERMAN CRNA (OWNER)
(801) 739-3086
Entity
Organization

Contact information

Practice address
11919 W SUNSET HWY STE C2, AIRWAY HEIGHTS, WA 99001-9466
(801) 739-3086
Mailing address
PO BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
08/29/2024
Last updated
08/29/2024
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