Provider Demographics
NPI:1265056337
Name:AW FIRST ASSISTING
Entity type:Organization
Organization Name:AW FIRST ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SURGICAL FIRST ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:505-400-1469
Mailing Address - Street 1:4301 CANADA PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-5638
Mailing Address - Country:US
Mailing Address - Phone:505-400-1469
Mailing Address - Fax:505-792-9401
Practice Address - Street 1:4301 CANADA PL NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-5638
Practice Address - Country:US
Practice Address - Phone:505-400-1469
Practice Address - Fax:505-792-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty