Provider Demographics
NPI:1205206190
Name:CARLSON, BRITNEY ANN (CRNA)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:ANN
Last Name:CARLSON
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 1:4292 E MESQUITE ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-1195
Mailing Address - Country:US
Mailing Address - Phone:303-681-5738
Mailing Address - Fax:480-699-1950
Practice Address - Street 1:1900 N. HIGLEY
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234
Practice Address - Country:US
Practice Address - Phone:480-543-2600
Practice Address - Fax:480-981-2407
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCRNA1172367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered