Organization
PARADISE ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN L WELLER CRNA (CHIEF CRNA)
(270) 338-5043
Entity
Organization
Contact information
Practice address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5043
(270) 338-5346
Mailing address
PO BOX 70, 440 HOPKINSVILLE ST., GREENVILLE, KY 42345-0070
(270) 338-5043
(270) 338-5346
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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