Individual
DANIELA DIPOMAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-5143
Mailing address
5714 W IVANHOE ST, CHANDLER, AZ 85226-1822
(602) 828-8188
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
026-0032061
VT
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0161
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012165
—
VT
05
—
30343932
—
NH
05
—
54685602
—
AZ
Enumeration date
07/28/2006
Last updated
09/08/2021
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