NPI 1003911520

Charles David Laine, CRNA

Practitioner Certified Registered Nurse Anesthetist Tempe, AZ

Practice location

Address: 1500 S Mill Ave, Tempe, AZ 85281-6699
Phone: (480) 784-5500
Mailing address: 862 N Pineview Dr, Chandler, AZ 85226-1919

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN083051 (AZ)

Other Nurse Anesthetist, Certified Registered providers in Arizona →

Registry record

NPI: 1003911520
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2006
Record last updated: 8 Jul 2007

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.