NPI 1003055914

Fancy Anesthesia Services INC

Organisation Certified Registered Nurse Anesthetist Show Low, AZ

Practice location

Address: 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831
Phone: (928) 368-8118
Fax: (928) 368-8121
Mailing address: PO Box 295, Snowflake, AZ 85937-0295

Authorised official

Name: Chance Green
Title: Owner
Phone: (928) 368-8118

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN102790 (AZ)

Other Nurse Anesthetist, Certified Registered providers in Arizona →

Registry record

NPI: 1003055914
Entity type: Organization
NPI issued: 17 Feb 2009
Record last updated: 17 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.