Organization
ANESTHESIA PROFESSIONALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J GAUVIN CRNA (OWNER)
(401) 826-8720
Entity
Organization
Contact information
Practice address
78 FAUNCE CORNER RD UNIT 560, DARTMOUTH, MA 02747-1265
(888) 209-0305
(952) 442-3620
Mailing address
400 EAST 10TH STREET, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05459581
TRICARE
MA
01
—
ANM20356
BLUE CROSS OF MA
MA
Enumeration date
02/23/2006
Last updated
07/25/2019
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