Organization
AGNOLETTO ANESTHESIA , INC
Active
Organization
AGNOLETTO ANESTHESIA , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY K AGNOLETTO CRNA (PRESIDENT)
(303) 422-9438
Entity
Organization
Contact information
Practice address
100 W BEAVER CREEK BLVD, AVON, CO 81620
(303) 422-9438
(303) 422-9474
Mailing address
PO BOX 2994, EDWARDS, CO 81632-2994
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95481
CO
Other
Enumeration date
05/16/2008
Last updated
05/29/2008
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