Organization
MAYA LLC
Active
Organization
MAYA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA LANGERUD (CREDENTIALING CONTRACTING MANAGER)
(719) 659-0275
Entity
Organization
Contact information
Practice address
2920 N CASCADE AVE STE 301, COLORADO SPRINGS, CO 80907-6265
(719) 636-1201
(719) 955-0986
Mailing address
2920 N CASCADE AVE STE 301, COLORADO SPRINGS, CO 80907-6265
(719) 636-1201
(719) 955-0986
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
CO
Other
Enumeration date
11/24/2015
Last updated
10/11/2019
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