Organization
RACINE ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BURDETTE (VP REVENUE CYCLE AND OPERATIONS)
(561) 623-2014
Entity
Organization
Contact information
Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 269-7000
Mailing address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 269-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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