Tricia M Nielsen, CRNA
Nurse Anesthetist, Certified Registered in Phoenix, AZ. Individual provider (NPI-1).
NPI number1164082038
StatusActive
Last updated in NPPESJun 28, 2022
Details
- NPI
- 1164082038
- Entity type
- Individual (NPI-1)
- Name
- Tricia M Nielsen
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2019
- Certification date
- Jun 28, 2022
- Last updated
- Jun 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 227398 | AZ | Yes |
Practice location
2601 E Roosevelt StPhoenix, AZ 85008-4973
Phone 602-344-5011 · Fax 602-344-0779
Mailing address
2929 E Thomas RdPhoenix, AZ 85016-8034
Phone 602-470-5000 · Fax 602-470-5064
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