MIRIAM J MACK

PHOENIX, AZ
NPI1932527850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  CRNA1016)
Enumeration Date2014-03-29
Last Update Date2021-06-25
Business Address
MIRIAM J MACK CRNA
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-342-2000
Mailing Address
MIRIAM J MACK CRNA
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5452
Phone number: 480-301-8000