| Miss Veneda Tawana Polite, CRNA | |
|
2400 S Avenue A, Yuma, AZ 85364-7127 | |
| (928) 344-2000 | |
| Not Available |
| Full Name | Miss Veneda Tawana Polite |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2400 S Avenue A, Yuma, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952540577 | NPI | - | NPPES |
| 425268 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA0633 (Arizona) | Primary |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Union Hills Pain Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558858712 PECOS PAC ID: 5092024836 Enrollment ID: O20180719001478 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Veneda Tawana Polite, CRNA 2400 S Avenue A, Yuma, AZ 85364-7127 Ph: (928) 344-2000 | Miss Veneda Tawana Polite, CRNA 2400 S Avenue A, Yuma, AZ 85364-7127 Ph: (928) 344-2000 |
Carol Spence, CRNA, ARNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2400 S Avenue A, Yuma, AZ 85364 Phone: 928-344-2000 | |
Gregory S Meador, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 S Avenue A, Yuma, AZ 85364 Phone: 928-344-2000 |