Organization
HALCYON ANESTHESIA SERVICES, A NURSING CORPORATION
Active
Other names
Halcyon Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WILSON CRNA (CEO)
(323) 208-2937
Entity
Organization
Contact information
Practice address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4618
(323) 555-5555
Mailing address
PO BOX 1448, RANCHO CUCAMONGA, CA 91729-1448
(323) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA#2955
CA
Other
Enumeration date
08/30/2013
Last updated
04/30/2019
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