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NPI Code Detail

MEDICARE: JENNIFER YEN CAO CRNA

MEDICARE: JENNIFER YEN CAO 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 Anesthetist0024195692VA
2367500000XCertified Registered Nurse Anesthetist323982AZ
3367500000XCertified Registered Nurse Anesthetist138765KS
4163W00000XRegistered Nurse13-133746-101KS

General Provider Information

NPI Number : 1720704786
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER YEN CAO CRNA
Provider Business Mailing Address
First Line : 1500 E TALL TREE RD APT 23104
Second Line :
City : DERBY
State : KS
Zip : 67037-6060
Country : US
Telephone Number : 316-518-6139
Fax Number :
Provider Business Practice Location Address
First Line : 6200 N LA CHOLLA BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3529
Country : US
Telephone Number : 520-742-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2022
Last Update Date : 01/22/2026

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Directions to “ JENNIFER YEN CAO CRNA” Practice Location

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