Ms Terren Courtney Wortham, DNP, CRNA | |
18701 N 67th Ave, Glendale, AZ 85308-7100 | |
(623) 561-1000 | |
Not Available |
Full Name | Ms Terren Courtney Wortham |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 18701 N 67th Ave, Glendale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043795370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95000998 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 265258 (Arizona) | Primary |
Entity Name | Greater Anesthesia Solutions |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
Mailing Address | Practice Location Address |
---|---|
Ms Terren Courtney Wortham, DNP, CRNA 17685 W Golden Eye Ave, Goodyear, AZ 85338-5847 Ph: (623) 217-7005 | Ms Terren Courtney Wortham, DNP, CRNA 18701 N 67th Ave, Glendale, AZ 85308-7100 Ph: (623) 561-1000 |
Juan N Aliaga, DNP, APRN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000 | |
Jason Scott Herndon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000 | |
Brandi Norman, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 19555 N 59th Ave, Glendale, AZ 85308 Phone: 623-572-3200 | |
Gina S. Kozul, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18555 N 79th Ave Bldg C, Glendale, AZ 85308 Phone: 623-776-2500 | |
Camarae Mikaela Mather, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 602-653-3012 | |
Stephen Patrick Standish, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 W Behrend Dr Apt 1155, Glendale, AZ 85308 Phone: 206-372-7032 |