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NPI Code Detail

MEDICARE: KELSEY ANN ARRIAGA DNP, CRNA

MEDICARE: KELSEY ANN ARRIAGA DNP, 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 Anesthetist1090064TX

General Provider Information

NPI Number : 1740906650
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY ANN ARRIAGA DNP, CRNA
Provider Business Mailing Address
First Line : 9301 DIANE CT
Second Line :
City : WHITE SETTLEMENT
State : TX
Zip : 76108-7069
Country : US
Telephone Number : 580-554-3814
Fax Number :
Provider Business Practice Location Address
First Line : 1800 PARK PLACE AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1302
Country : US
Telephone Number : 580-554-3814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2022
Last Update Date : 10/13/2022

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