Organization
ADAPTIV INTRAVENOUS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEANN FOGARTY (CRNA)
(502) 368-2348
Entity
Organization
Contact information
Practice address
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215-1130
(502) 368-2348
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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