Healthcare Provider Details

I. General information

NPI: 1841561347
Provider Name (Legal Business Name): SUNSET ANESTHESIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2012
Last Update Date: 01/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 E ARBOR AVE SUITE 101
MESA AZ
85206-6102
US

IV. Provider business mailing address

6020 E ARBOR AVE SUITE 101
MESA AZ
85206-6102
US

V. Phone/Fax

Practice location:
  • Phone: 480-985-1700
  • Fax: 480-396-3659
Mailing address:
  • Phone: 480-985-1700
  • Fax: 480-396-3659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRENDA HARDING
Title or Position: PRACTICE ADMINISTRATOR
Credential: FACMPE
Phone: 480-985-1700