Organization
GENESIS 221 ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRINA LEANNE ANTONELLI C.R.N.A. (MANAGING MEMBER)
(810) 845-1510
Entity
Organization
Contact information
Practice address
1299 MOUNTAIN ST, CARSON CITY, NV 89703-3816
(775) 882-4477
(775) 882-4479
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(800) 477-4544
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000414
NV
Other
Enumeration date
09/11/2016
Last updated
09/15/2016
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