Individual
TIA S HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5039
(602) 344-0779
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024170314
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN2643
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1442
—
SC
Enumeration date
04/21/2006
Last updated
11/17/2025
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