NPI 1063584449

Stephen Troy Porter, CRNA

Practitioner Certified Registered Nurse Anesthetist Mesa, AZ

Practice location

Address: 135 S Power Rd STE 110, Mesa, AZ 85206-5245
Phone: (480) 745-8577
Mailing address: 20641 S 196th St, Queen Creek, AZ 85142-6242

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CRNA0827 (AZ)

Other Nurse Anesthetist, Certified Registered providers in Arizona →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 209006282 (IL)

Registry record

NPI: 1063584449
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2006
Record last updated: 14 Jun 2023

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.