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Avalyn Wellness And Ketamine Llc
Certified Registered Nurse Anesthetist in Southlake, Texas
NPI 1356036933

Avalyn Wellness And Ketamine Llc is a Certified Registered Nurse Anesthetist based in Southlake, TX. Avalyn Wellness And Ketamine Llc practices in Southlake, TX. The NPI Number for Avalyn Wellness And Ketamine Llc is 1356036933 and holds a License No. (Texas).

The current practice location address for Avalyn Wellness And Ketamine Llc is 1100 N Kimball Ave Ste 110, Southlake, TX and can be reached out via phone at 817-251-7995 and via fax at 817-398-0016.

Location: 1100 N Kimball Ave Ste 110, Southlake, TX, 76092-4726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356036933
Provider Name
Avalyn Wellness And Ketamine Llc
Credential
Provider Entity Type
Organization
Address
1100 N Kimball Ave Ste 110, Southlake, TX, 76092-4726
Phone Number
817-251-7995
Fax Number
817-398-0016
Provider Enumeration Date
04/10/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1100 N Kimball Ave Ste 110
City
Southlake
State
Texas
Zip
76092-4726
Phone Number
817-251-7995
Fax Number
817-398-0016
person
Provider Business Mailing Address Details
Address
1100 N Kimball Ave Ste 110
City
Southlake
State
Texas
Zip
76092-4726
Phone Number
817-251-7995
Fax Number
817-398-0016
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
()
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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