Provider Demographics
NPI:1780622977
Name:ARNETT, AMY E (CRNA)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:ARNETT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:SHAWAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6344 E JAMISON CIR S
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2417
Mailing Address - Country:US
Mailing Address - Phone:303-476-8661
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6106
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN 4953367500000X
WAAP30006492367500000X
MARN2351588367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0177138OtherL&I PIN
WA60873UOtherREGENCE BLUE SHIELD PIN
CO21872040Medicaid
WA9638537Medicaid
WA0177138OtherL&I PIN
WAAB39602Medicare PIN