NPI 1073047460

Imus Sleep PLLC

Organisation Certified Registered Nurse Anesthetist Mesa, AZ

Practice location

Address: 4022 E Presidio St, Mesa, AZ 85215-1113
Phone: (480) 296-7642
Fax: (480) 296-7643
Mailing address: PO Box 20610, Mesa, AZ 85277-0610

Authorised official

Name: Frederick Scott Imus
Title: Sole Member
Phone: (480) 570-9766

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CRNA0698 (AZ)

Other Nurse Anesthetist, Certified Registered providers in Arizona →

Registry record

NPI: 1073047460
Entity type: Organization
NPI issued: 12 Apr 2017
Record last updated: 12 Apr 2017

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.