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NPI Code Detail

MEDICARE: SCOTT ANTHONY REDMOND CRNA

MEDICARE:   SCOTT ANTHONY REDMOND  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist7301NC
2367500000XCertified Registered Nurse Anesthetist228043NC

General Provider Information

NPI Number : 1285334292
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT ANTHONY REDMOND CRNA
Provider Business Mailing Address
First Line : 3511 E LITTLE HILL RD
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-5601
Country : US
Telephone Number : 520-236-2498
Fax Number :
Provider Business Practice Location Address
First Line : 10628 PARK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-8407
Country : US
Telephone Number : 704-667-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2023
Last Update Date : 12/08/2025

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Directions to “ SCOTT ANTHONY REDMOND CRNA” Practice Location

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