Organization
NOVA ANESTHESIA CRNA'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ALEXANDER (OFFICE MANAGER)
(570) 386-2366
Entity
Organization
Contact information
Practice address
1501 MOUNT PLEASANT RD, VILLANOVA, PA 19085-2112
(570) 386-2366
(570) 386-3130
Mailing address
PO BOX 428, LEHIGHTON, PA 18235-0428
(570) 386-2366
(570) 386-3130
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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