Organization
KROLL ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS KROLL CRNA (OWNER)
(440) 371-7209
Entity
Organization
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-3033
(253) 968-1110
Mailing address
518 RUNQUIST CT, STEILACOOM, WA 98388-3033
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
06/02/2020
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