Healthcare Provider Details

I. General information

NPI: 1811404981
Provider Name (Legal Business Name): PREETI SANGA CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2018
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9023 E DESERT COVE AVE STE 101
SCOTTSDALE AZ
85260-6779
US

IV. Provider business mailing address

2415 E ROBB LN
PHOENIX AZ
85024-5251
US

V. Phone/Fax

Practice location:
  • Phone: 480-407-6400
  • Fax: 480-407-6520
Mailing address:
  • Phone: 248-595-3987
  • Fax: 480-407-6520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA1467
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN192336
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: