| Mr Stephen A Henefield, CRNA | |
|
1171 W Target Range Rd, Nogales, AZ 85621-2415 | |
| (520) 285-8010 | |
| Not Available |
| Full Name | Mr Stephen A Henefield |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1171 W Target Range Rd, Nogales, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245219179 | NPI | - | NPPES |
| 101828 | Medicaid | AZ | |
| 702243300 | Medicaid | MN | |
| Z144889 | Other | AZ | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 075850-1 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN138245 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen A Henefield, CRNA 2202 N Forbes Blvd, Tucson, AZ 85745-1412 Ph: (520) 872-7536 | Mr Stephen A Henefield, CRNA 1171 W Target Range Rd, Nogales, AZ 85621-2415 Ph: (520) 285-8010 |
Amos Herr Wilkinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
Mr. Kerry Donn Smith, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 | |
James Lindsey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 Phone: 520-287-4020 Fax: 520-287-2348 | |
John A. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-287-4747 | |
Leon Francis Deisering, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 W Target Range Road, Suite 102, Nogales, AZ 85621 Phone: 520-287-4020 Fax: 520-287-2348 | |
Carolyn Frances Kenngott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1171 W Target Range Rd, Nogales, AZ 85621 Phone: 520-285-3000 |