Organization
CEOLA ANESTHESIA, PLLC
Active
Other names
RCAS
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MARIE CEOLA CRNA (PRESIDENT)
(479) 531-7711
Entity
Organization
Contact information
Practice address
8300 W BROWN RD, LOWELL, AR 72745
(479) 531-9083
(479) 631-2702
Mailing address
PO. BOX 172, CAVE SPRINGS, AR 72718
(479) 531-7711
(479) 631-2702
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01036
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135884701
—
AR
05
—
917897811
—
MO
Enumeration date
08/11/2006
Last updated
09/09/2020
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