Organization
ORCHID ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN PETERSEN (OWNER)
(214) 244-1756
Entity
Organization
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-8185
(765) 284-0493
(765) 284-2434
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
10/18/2018
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