Organization
SIESTA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA FLORES CRNA (OWNER)
(915) 472-2769
Entity
Organization
Contact information
Practice address
2251 DUBOIS DR, WARSAW, IN 46580-3212
(574) 269-2777
(574) 371-4697
Mailing address
2906 LEON CV, FORT WAYNE, IN 46845-0085
(915) 472-2769
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/01/2024
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