Individual
MARIA K. REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
PO BOX 53568, PHOENIX, AZ 85072-3568
(623) 544-5075
(623) 544-5093
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076003
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212735
—
AZ
Enumeration date
03/23/2007
Last updated
01/23/2013
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