CHILDRENS ANESTHESIA SERVICES LLC NPI 1073886370

NPI Information

NPI: 1073886370
Provider Name: CHILDRENS ANESTHESIA SERVICES LLC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 11D0977717

Address:
1001 JOHNSON FERRY RD NE
ATLANTA, GA
ZIP 30342
Phone: (404) 785-2008
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CHILDRENS ANESTHESIA SERVICES LLC is a pediatrics nurse practitioner in Atlanta, GA. CHILDRENS ANESTHESIA SERVICES LLC NPI is 1073886370. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1001 JOHNSON FERRY RD NE
ATLANTA, GA
ZIP 30342-605
Phone: (404) 785-2008
Fax: (404) 785-4496

The provider's authorized official is Paula Warren Friedman .
The authorized official title is Pediatric Nurse Practitioner and has the following contact phone number (404) 785-5650.

The CLIA number assigned to this NPI record is 11D0977717 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2012 and was last updated on 2/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	RN140297	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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