Healthcare Provider Details

I. General information

NPI: 1245651546
Provider Name (Legal Business Name): EMILY ARNOLD CRITCHLEY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2014
Last Update Date: 09/02/2022
Certification Date: 09/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5656 WEST BEE CAVES ROAD SUITE M-302
AUSTIN TX
78746
US

IV. Provider business mailing address

1004 SOUTH ROCK STREET WESTLAKE ANESTHESIA GROUP, PA
GEORGETOWN TX
78626
US

V. Phone/Fax

Practice location:
  • Phone: 512-697-3502
  • Fax: 512-697-3501
Mailing address:
  • Phone: 512-279-0348
  • Fax: 512-371-8788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP125047
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: