Individual
NEINA ORRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
77 W FOREST AVE, SUITE 207, FLAGSTAFF, AZ 86001
(928) 773-2505
(928) 773-2504
Mailing address
77 W FOREST AVE, SUITE 207, FLAGSTAFF, AZ 86001-1479
(928) 773-2505
(928) 773-2504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
757093
NY
367500000X
Certified Registered Nurse Anesthetist
101866
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1044
AZ
367500000X
Certified Registered Nurse Anesthetist
RNA183044
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913908
—
AZ
Enumeration date
04/11/2014
Last updated
03/09/2021
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