Organization
NORTHERN ANESTHESIA PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SPROW CRNA (OWNER)
(419) 438-2938
Entity
Organization
Contact information
Practice address
725 S SHOOP AVE, WAUSEON, OH 43567-1702
(419) 335-2015
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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