Dynamic Anesthesia, Pllc

LBN: Dynamic Anesthesia, Pllc
Dynamic Anesthesia, Pllc is an health care organization with primary practice located at 1564 Brownfield Rd , Center Conway NH 03813. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is the primary health care specialty. Dynamic Anesthesia, Pllc can be contacted via phone (603) 387-4523, or through Defeo, Kelly Catherine via phone (603) 387-4523.

Contact Information

Primary practice address
1564 Brownfield Rd Center Conway NH 03813
Phone: (603) 387-4523
Fax: (866) 394-0351
Website:
Map and Directions
Authorized official contact:
Name: Defeo, Kelly Catherine CRNA, FNP-BC
Phone: (603) 387-4523

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 047170-23-11 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 04717023-11 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X New Hampshire

Profile Details

NPI number 1952596751
LBN Legal business name Dynamic Anesthesia, Pllc
DBA Doing business as
Authorized official Defeo, Kelly Catherine CRNA, FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2007
Last updated Jun 3rd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952596751 NPPES
New Hampshire MEDICAID 3079830

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