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Organization

AYA ANESTHESIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE SHAW CRNA (PRESIDENT)
(402) 278-2536
Entity
Organization

Contact information

Practice address
11606 NICHOLAS ST, OMAHA, NE 68154-4478
(402) 493-2020
Mailing address
10513 ROSEWATER PKWY, BENNINGTON, NE 68007-8104
(402) 278-2536

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
12/02/2024
Last updated
12/02/2024
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