Organization
ADVANCED PRACTICE ANESTHESIA, LLC
Active
Organization
ADVANCED PRACTICE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA GONZALEZ CRNA (CEO/FOUNDER)
(504) 701-9690
Entity
Organization
Contact information
Practice address
6289 FAIRFAX NATIONAL WAY, CENTREVILLE, VA 20120-1052
(504) 701-9690
Mailing address
6289 FAIRFAX NATIONAL WAY, CENTREVILLE, VA 20120-1052
(504) 701-9690
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R192295
MD
Other
Enumeration date
01/27/2015
Last updated
06/27/2016
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