Provider Demographics
NPI:1639498702
Name:NEVADA ANESTHESIA PROFESSIONALS LLC
Entity Type:Organization
Organization Name:NEVADA ANESTHESIA PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:F
Authorized Official - Last Name:SORELLE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:508-971-6194
Mailing Address - Street 1:3524 MORENO CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6312
Mailing Address - Country:US
Mailing Address - Phone:508-971-6194
Mailing Address - Fax:702-998-6977
Practice Address - Street 1:3524 MORENO CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-6312
Practice Address - Country:US
Practice Address - Phone:508-971-6194
Practice Address - Fax:702-998-6977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty