Individual
AISHA BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 321-2000
Mailing address
9029 N SAINT CLAIR AVE, KANSAS CITY, MO 64154-1634
(417) 234-5345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012020094
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
127703
MO
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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