NPI 1164822920

Mathias Darrell Rupp, CRNA

Practitioner Certified Registered Nurse Anesthetist Flagstaff, AZ

Practice location

Address: 77 W Forest Ave STE 117, Flagstaff, AZ 86001-1482
Phone: (928) 773-2505
Fax: (928) 773-2504

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CRNA1070 (AZ)

Other Nurse Anesthetist, Certified Registered providers in Arizona →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 256689 (NC)

Other Registered Nurse providers in Arizona →

Registry record

NPI: 1164822920
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2014
Record last updated: 24 Sep 2018

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.