Individual
JENNIFER PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1850 N CENTRAL AVE STE 1600, PHOENIX, AZ 85004-4633
(602) 262-8900
Mailing address
645 E MISSOURI AVE, STE 300, PHOENIX, AZ 85012-1351
(602) 262-8917
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704275352
MI
367500000X
Certified Registered Nurse Anesthetist
4704275352
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1062
AZ
Other
Enumeration date
01/22/2010
Last updated
03/26/2020
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