Provider Demographics
NPI:1306660725
Name:NOLA GIRL NURSING ANESTHESIA CORPORATION
Entity type:Organization
Organization Name:NOLA GIRL NURSING ANESTHESIA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:FRANZ
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:504-416-0717
Mailing Address - Street 1:2700 NEILSON WAY APT 221
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-4012
Mailing Address - Country:US
Mailing Address - Phone:504-416-0717
Mailing Address - Fax:
Practice Address - Street 1:5400 BALBOA BLVD STE 111
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-5206
Practice Address - Country:US
Practice Address - Phone:833-540-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty