Provider Demographics
NPI:1578263133
Name:TRIANGLE ANESTHESIA GROUP, PLLC
Entity Type:Organization
Organization Name:TRIANGLE ANESTHESIA GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRITZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MESILIEN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:203-820-9397
Mailing Address - Street 1:PO BOX 15902
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-0902
Mailing Address - Country:US
Mailing Address - Phone:203-820-9397
Mailing Address - Fax:866-586-3722
Practice Address - Street 1:401 WEEPING WILLOW DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-6206
Practice Address - Country:US
Practice Address - Phone:203-820-9397
Practice Address - Fax:866-586-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty