Whalio Doctors

NPI 1003359092

Charles B Whitby, CRNA

Practitioner Certified Registered Nurse Anesthetist Sierra Vista, AZ

Practice location

Address
5700 E Highway 90, Sierra Vista, AZ 85635-9110
Phone
(520) 226-4338
Fax
(520) 335-8705
Mailing address
77 Calle Portal STE B260a, Sierra Vista, AZ 85635-2998

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CRNA1361 (AZ)

Registry record

NPI
1003359092
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Nov 2016
Record last updated
23 Nov 2016

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.