Joann Anderson, CRNA | |
2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 | |
(928) 368-8118 | |
(928) 368-8121 |
Full Name | Joann Anderson |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700859162 | NPI | - | NPPES |
497843 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN025318 (Arizona) | Primary |
Entity Name | Northeastern Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
Mailing Address | Practice Location Address |
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Joann Anderson, CRNA Po Box 1745, Lakeside, AZ 85929-1745 Ph: (928) 368-8118 | Joann Anderson, CRNA 2200 E Show Low Lake Rd, Show Low, AZ 85901-7881 Ph: (928) 368-8118 |
Leanne Tawoda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 Fax: 928-537-2466 | |
Christina Cowgill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Mark Todd Wright, MN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 512-925-7978 |