Organization
BRENDA CREITZ ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA LEE CREITZ CRNA (PRESIDENT)
(970) 275-0492
Entity
Organization
Contact information
Practice address
112 W SPENCER AVE, GUNNISON, CO 81230-2545
(970) 641-6788
Mailing address
PO BOX434, GUNNISON, CO 81230-0434
(970) 275-0492
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
89727
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49731564
—
CO
Enumeration date
09/06/2007
Last updated
10/31/2007
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