OrganizationActive
Advanced Anesthesia Care
NPI 1124710207 · Certified Registered Nurse Anesthetist · Livingston, MT
Provider details
- NPI number
- 1124710207
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Theodore Smith, Partner - Authorized Offical(801) 698-4825
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
320 Alpenglow Ln
Livingston, MT 59047-8506
Phone: (406) 222-3541
Approximate (ZIP-level) locationGet directions
Mailing address
6003 23rd Dr W Ste 100
Everett, WA 98203-1583
Registry dates
- Enumerated
- 2023-05-25
- Last updated
- 2023-07-19
- Certified
- 2023-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.