Organization
PRIME ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY APRILLIANO CRNA/APRN (OWNER)
(603) 236-6850
Entity
Organization
Contact information
Practice address
16 AIRPORT RD, WEST LEBANON, NH 03784-1681
(603) 298-7557
Mailing address
PO BOX 1385, IDAHO FALLS, ID 83403-1385
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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