Healthcare Provider Details

I. General information

NPI: 1639412794
Provider Name (Legal Business Name): RACHEL E. PRAZER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N HIGLEY RD
GILBERT AZ
85234-1604
US

IV. Provider business mailing address

4838 EAST BASELINE ROAD SUITE 108
MESA AZ
85206-4672
US

V. Phone/Fax

Practice location:
  • Phone: 480-981-2400
  • Fax: 480-981-2407
Mailing address:
  • Phone: 480-981-2400
  • Fax: 480-981-2407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA0927
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN9266614
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: