Individual
ELIZABETH ANNE SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8690UM
BCBS
TX
Enumeration date
01/27/2015
Last updated
04/10/2025
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