Trena Marie Mallory CRNA

NPI 1245668326 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1245668326
Gender Female
Enumeration Date 10/28/2013
Last Updated 10/28/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
8424 E SHEA BLVD
#101
SCOTTSDALE AZ, 85260-6662, US
Phone (480) 478-6620
Fax (460) 304-3444
Business Location
6170 W LAKE MEAD BLVD
#461 PMB 2335
LAS VEGAS NV, 89108-2661, US
Phone (702) 217-4808
Fax
Toxanomy
Taxonomy Code 367500000X
License State Arizona
License Number CRNA0980
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According to our database, Ms. Trena Marie Mallory CRNA NPI is 1245668326, taxonomy code is 367500000X and license number is CRNA0980, license state is located at Arizona. Trena Marie Mallory CRNA physically located at 8424 E Shea Blvd, Scottsdale AZ, 85260-6662. NPI Number Trena Marie Mallory CRNA has the Individual type.

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1245668326 NPI number is provided on an as is basis without warranty of any kind. 1245668326 is maintained by the National Plan & Provider Enumeration System. The contents of Trena Marie Mallory CRNA are for informational purposes only.