NPI 1790217081

Macgasgirl, LLC

Organisation Certified Registered Nurse Anesthetist Fort Wayne, IN

Practice location

Address: 7747 W Jefferson Blvd STE B, Fort Wayne, IN 46804-4135
Phone: (260) 434-9104
Mailing address: PO Box 1296, Warsaw, IN 46581-1296

Authorised official

Name: Laura R Meaney
Title: Owner
Phone: (574) 268-9640

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 28147521A (IN)

Other Nurse Anesthetist, Certified Registered providers in Indiana →

Registry record

NPI: 1790217081
Entity type: Organization
NPI issued: 28 Mar 2017
Record last updated: 6 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.