Provider Demographics
NPI:1568143469
Name:ASPEN ANESTHESIA SERVICES PAIN EXPERTS AND NURSING NETWORKS INC
Entity Type:Organization
Organization Name:ASPEN ANESTHESIA SERVICES PAIN EXPERTS AND NURSING NETWORKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:KAIULANI
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:509-389-3299
Mailing Address - Street 1:4270 WILBUR CT
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-1892
Mailing Address - Country:US
Mailing Address - Phone:870-897-1774
Mailing Address - Fax:
Practice Address - Street 1:4270 WILBUR CT
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-1892
Practice Address - Country:US
Practice Address - Phone:870-897-1774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty