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NPI Code Detail

MEDICARE: DALENE D. PERDUE CRNA

MEDICARE:   DALENE D. PERDUE  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist150270CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00465632OTHERWYMEDICARE RAILROAD

General Provider Information

NPI Number : 1356321590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALENE D. PERDUE CRNA
Provider Business Mailing Address
First Line : 3000 S JAMAICA CT STE 140
Second Line :
City : AURORA
State : CO
Zip : 80014-4601
Country : US
Telephone Number : 303-755-3201
Fax Number : 303-755-3204
Provider Business Practice Location Address
First Line : 2735 SILVER CREEK RD
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-7924
Country : US
Telephone Number : 928-763-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2006
Last Update Date : 08/05/2025

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Directions to “ DALENE D. PERDUE CRNA” Practice Location

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