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Individual

BRENDA MICHELLE NEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4838 E. BASELINE ROAD, SUITE 108, MESA, AZ 85206-4672
(480) 981-2400
(480) 981-2407
Mailing address
1219 E HARBOR VIEW DR, SUITE 108, TEMPE, AZ 85283-2117
(310) 280-8799

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1050
AZ

Other

Enumeration date
06/24/2014
Last updated
07/25/2016
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