Independence Anesthesia Llc

LBN: Independence Anesthesia Llc
Independence Anesthesia Llc is an health care organization with primary practice located at 1710 Mayfield Dr , Jonesboro AR 72401-4563. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Independence Anesthesia Llc can be contacted via phone (870) 613-8390, or through Stalker, Steven via phone (870) 613-8390.

Contact Information

Primary practice address
1710 Mayfield Dr Jonesboro AR 72401-4563
Phone: (870) 613-8390
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stalker, Steven Nurse Practitioner (NP)
Phone: (870) 613-8390

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1114524147
LBN Legal business name Independence Anesthesia Llc
DBA Doing business as
Authorized official Stalker, Steven Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2020
Last updated Mar 7th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114524147 NPPES
Arkansas Other CO1386 STATE LICENSE

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