Healthcare Provider Details

I. General information

NPI: 1326576653
Provider Name (Legal Business Name): ANGELA BETH BURGESS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA BETH FLEMING

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 E UNION HILLS DR STE 300
PHOENIX AZ
85050-3387
US

IV. Provider business mailing address

6218 E JUSTINE RD
SCOTTSDALE AZ
85254-1946
US

V. Phone/Fax

Practice location:
  • Phone: 602-293-3382
  • Fax:
Mailing address:
  • Phone: 480-363-1438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN155985
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA1435
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: