Provider Demographics
NPI:1811404981
Name:SANGA, PREETI (CRNA)
Entity Type:Individual
Prefix:
First Name:PREETI
Middle Name:
Last Name:SANGA
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 1:9023 E DESERT COVE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6779
Mailing Address - Country:US
Mailing Address - Phone:480-407-6400
Mailing Address - Fax:480-407-6520
Practice Address - Street 1:9023 E DESERT COVE AVE STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6779
Practice Address - Country:US
Practice Address - Phone:480-407-6400
Practice Address - Fax:480-407-6520
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN192336163W00000X
AZCRNA1467367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse