Individual
ANITA L DESILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0204
AZ
367500000X
Certified Registered Nurse Anesthetist
RN074439
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430076548
RAILROAD MEDICARE
AZ
05
—
719362
—
AZ
Enumeration date
12/06/2005
Last updated
04/13/2018
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