Organization
NORTHSTAR ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN PAUL EMBRY APRN (CRNA)
(270) 314-6024
Entity
Organization
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-2000
Mailing address
6225 N STATE HIGHWAY 161, IRVING, TX 75038-2223
(214) 687-0001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3009933
KY
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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