Individual
CONNOR LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4605 E ELWOOD ST STE 500, PHOENIX, AZ 85040-1978
(602) 200-9021
Mailing address
2221 LAKESIDE BLVD STE 600, RICHARDSON, TX 75082-4416
(435) 313-2738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11291775-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
312089
AZ
Other
Enumeration date
07/26/2024
Last updated
10/04/2024
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