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NPI Code Detail

MEDICARE: SHAUN KENNETH FERRIE CRNA

MEDICARE: SHAUN KENNETH FERRIE 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 Anesthetist128484AZ
2367500000XCertified Registered Nurse AnesthetistCRNA0748AZ

General Provider Information

NPI Number : 1326345067
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAUN KENNETH FERRIE CRNA
Provider Business Mailing Address
First Line : 2929 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-8034
Country : US
Telephone Number : 602-470-5000
Fax Number : 602-470-5064
Provider Business Practice Location Address
First Line : 2601 E ROOSEVELT ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4973
Country : US
Telephone Number : 602-344-5049
Fax Number : 602-344-0779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2011
Last Update Date : 12/02/2025

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Directions to “ SHAUN KENNETH FERRIE CRNA” Practice Location

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