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Individual

MRS. EDITH ANN AST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
20203 N CROWN RIDGE DR, SUN CITY WEST, AZ 85375-3714
(623) 687-1717
(623) 584-9968
Mailing address
20203 N CROWN RIDGE DR, SUN CITY WEST, AZ 85375-3714
(623) 687-1717
(623) 584-9968

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN132685
AZ
367500000X
Certified Registered Nurse Anesthetist
COMPACT LICENSE
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0339
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
693070
STATE
TX
Enumeration date
07/19/2006
Last updated
08/11/2011
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