MEDICARE: CRAIG M ARAVE 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
1	367500000X	Certified Registered Nurse Anesthetist	212855-4406	UT

General Provider Information

NPI Number	:	1467423715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG M ARAVE CRNA

Provider Business Mailing Address
First Line	:	1383 WESTLAKE DR
Second Line	:
City	:	IVINS
State	:	UT
Zip	:	84738-6314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 MDOS
Second Line	:	PSC 3
City	:	APO
State	:	AP
Zip	:	96266
Country	:	US
Telephone Number	:	7845169
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	04/20/2008

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