Provider Demographics
NPI:1194043810
Name:ORWIN, JEREMY BILL (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JEREMY
Middle Name:BILL
Last Name:ORWIN
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:10115 E BELL RD
Mailing Address - Street 2:STE 107 BOX 468
Mailing Address - City:SCOTTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2189
Mailing Address - Country:US
Mailing Address - Phone:480-325-9600
Mailing Address - Fax:480-493-5336
Practice Address - Street 1:8997 E DESERT COVE AVE FL 1
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6742
Practice Address - Country:US
Practice Address - Phone:480-664-3317
Practice Address - Fax:480-493-5336
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN590782367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered