Provider Demographics
NPI:1326668328
Name:M & M ANESTHESIA, LLC
Entity Type:Organization
Organization Name:M & M ANESTHESIA, LLC
Other - Org Name:HEARTLAND ANESTHESIA & CONSTULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:515-988-1564
Mailing Address - Street 1:8736 NW 27TH CT
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-7916
Mailing Address - Country:US
Mailing Address - Phone:515-988-1564
Mailing Address - Fax:
Practice Address - Street 1:8736 NW 27TH CT
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-7916
Practice Address - Country:US
Practice Address - Phone:515-988-1564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty