Individual
MICHELE IDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1551 E TANGERINE RD, ORO VALLEY, AZ 85755-6213
(520) 901-3500
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1498
AZ
367500000X
Certified Registered Nurse Anesthetist
NA2932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN3489390
—
CA
Enumeration date
12/13/2005
Last updated
04/17/2025
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