Individual
ANTONY K WAWERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1850 N CENTRAL AVE STE 1600, PHOENIX, AZ 85004-4633
(602) 262-8900
Mailing address
18301 N 79TH AVE STE F170, GLENDALE, AZ 85308-6338
(602) 325-2020
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101173
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1023
AZ
Other
Enumeration date
08/11/2011
Last updated
07/05/2023
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