Alta Anesthesia P. C.

Organization Active NPI Certified Registered Nurse Anesthetist · Cortez, CO

NPI 1912930918 · NPPES record last updated May 10, 2017

Key facts

NPI
1912930918
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
174761 (CO)
Legal business name
ALTA ANESTHESIA P. C.
Practice address
1311 N Mildred Rd
Cortez, CO 81321-2231
Phone
(970) 565-6666
NPI assigned
Jul 10, 2006
Organization subpart
No

Authorized official

Name
Kenneth Hurd Picillo, CRNA
Title
President/Owner
Phone
(801) 557-3421

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X 174761 CO Yes

Addresses

Primary practice location

1311 N Mildred Rd
Cortez, CO 81321-2231

Mailing address

PO Box 1589
Cortez, CO 81321-1589
Phone (801) 557-3421

Other providers in Cortez, CO

All providers in Cortez, CO · Certified Registered Nurse Anesthetist in Colorado

Sources for this page

Verify at the official NPI Registry.