Organization Active NPI

Connie Bruch-Harrison PLLC

  • Certified Registered Nurse Anesthetist
  • Tempe, AZ
National Provider Identifier
1437522794
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA1013 Issued in AZ
Legal business name
CONNIE BRUCH-HARRISON PLLC
Practice address
1232 E Broadway Rd
Suite 205
Tempe, AZ 85282-1511
Phone
(480) 874-7014
Fax
(480) 874-7015
NPI assigned
Nov 9, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Gina Henderson
Title
Manager
Phone
(480) 874-7014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA1013 AZ Primary

Addresses

Primary practice location

1232 E Broadway Rd
Suite 205
Tempe, AZ 85282-1511

Mailing address

PO Box 7387
Tempe, AZ 85281-0013
Phone (480) 874-7014

National Provider Directory

National Provider Directory

Locations

1232 E Broadway Rd
Ste 205
Tempe, AZ 85282
Phone (314) 410-9415

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1437522794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7387",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852810013",
            "telephone_number": "480-874-7014",
            "fax_number": "480-874-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 E BROADWAY RD",
            "address_2": "SUITE 205",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821511",
            "telephone_number": "480-874-7014",
            "fax_number": "480-874-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE BRUCH-HARRISON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-874-7014",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.