NPI 1063439834

Juancho C. Depaolo, CRNA

Practitioner Certified Registered Nurse Anesthetist Mesa, AZ

Practice location

Address: 1301 S Crismon Rd, Mesa, AZ 85209-3767
Phone: (800) 402-0881
Mailing address: 21215 E Vallejo St, Queen Creek, AZ 85142-5332

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CRNA0791 (AZ)

Other Nurse Anesthetist, Certified Registered providers in Arizona →

Registry record

NPI: 1063439834
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2006
Record last updated: 25 Apr 2024

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.