Healthcare Provider Details

I. General information

NPI: 1043003346
Provider Name (Legal Business Name): DEANNA BISSELL, CRNA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 N TUCSON BLVD
TUCSON AZ
85716-3423
US

IV. Provider business mailing address

11446 E CATALINA HWY
TUCSON AZ
85749-9688
US

V. Phone/Fax

Practice location:
  • Phone: 520-326-4321
  • Fax:
Mailing address:
  • Phone: 301-467-5095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DEANNA BISSELL
Title or Position: CRNA
Credential:
Phone: 301-467-5095