Provider Demographics
NPI:1013360494
Name:ARORA, ANNA (CRNA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ARORA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 14TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3361
Mailing Address - Country:US
Mailing Address - Phone:256-560-2890
Mailing Address - Fax:256-764-9699
Practice Address - Street 1:1122 14TH AVE SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3361
Practice Address - Country:US
Practice Address - Phone:256-560-2890
Practice Address - Fax:256-764-9699
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-132653367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered