Provider Demographics
NPI:1891439931
Name:PREFERRED ANESTHESIA INC
Entity type:Organization
Organization Name:PREFERRED ANESTHESIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MAYO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:402-202-9559
Mailing Address - Street 1:13501 S 190TH ST
Mailing Address - Street 2:
Mailing Address - City:BENNET
Mailing Address - State:NE
Mailing Address - Zip Code:68317-2294
Mailing Address - Country:US
Mailing Address - Phone:402-202-9559
Mailing Address - Fax:
Practice Address - Street 1:13501 S 190TH ST
Practice Address - Street 2:
Practice Address - City:BENNET
Practice Address - State:NE
Practice Address - Zip Code:68317-2294
Practice Address - Country:US
Practice Address - Phone:402-202-9559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESSENTIALS EVERYDAY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty