Nancy Ann Dickson, BSN, MS, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Douglas, AZ
NPI 1073655833 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073655833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN088338 (AZ)
- Practice address
- 2174 W Oak Ave
Southeast Az Medical Center
Douglas, AZ 85607-6003 - Phone
- (520) 364-7931
- Fax
- (520) 364-2551
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN088338 | AZ | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN088338 | AZ | Yes |
Addresses
Primary practice location
2174 W Oak Ave
Southeast Az Medical Center
Douglas, AZ 85607-6003
Mailing address
PO Box 1128
9830 N Bar Boot Ranch Rd
Douglas, AZ 85608-1128
Phone (520) 824-3121
Other providers in Douglas, AZ
- Lisa Irish Deese
- Jose Samuel Delson
- Dialysis Clinic Inc.
- Bart Matthew Diaz
- Monica Ann Dickey
- Douglas Arc
- Douglas Community Hospital
- Douglas Community Hospital, Inc.
- Douglas Dental, LLC
- Douglas Family Care PLLC
All providers in Douglas, AZ · Certified Registered Nurse Anesthetist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.