Provider Demographics
NPI:1174854806
Name:WEBB, SANDRINE Y (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:SANDRINE
Middle Name:Y
Last Name:WEBB
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 1:19619 N 67TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-5562
Mailing Address - Country:US
Mailing Address - Phone:925-895-4896
Mailing Address - Fax:
Practice Address - Street 1:14506 W GRANITE VALLEY DR STE 215
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-6013
Practice Address - Country:US
Practice Address - Phone:623-584-9985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCRNA0650367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered