Individual
CARLA MINNETTA IBBOTSON
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
163W00000X
Registered Nurse
RN189948
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
259175
AZ
367500000X
Certified Registered Nurse Anesthetist
APRN11028132
FL
Other
Enumeration date
02/19/2021
Last updated
05/05/2025
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