Healthcare Provider Details

I. General information

NPI: 1043441769
Provider Name (Legal Business Name): SUZANNE C FIRTH CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2009
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5955 ZEAMER AVENUE
ANCHORAGE AK
99506
US

IV. Provider business mailing address

5955 ZEAMER AVENUE
JBER AK
99506
US

V. Phone/Fax

Practice location:
  • Phone: 907-580-1815
  • Fax:
Mailing address:
  • Phone: 907-580-1815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number106223
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: