Basic Information
Provider Information
NPI: 1740612233
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CALL
FirstName: ASHLEY
MiddleName: W
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8424 E SHEA BLVD
Address2: STE. 101
City: SCOTTSDALE
State: AZ
PostalCode: 852606662
CountryCode: US
TelephoneNumber: 4802561520
FaxNumber: 4804786628
Practice Location
Address1: 8424 E SHEA BLVD
Address2: STE. 101
City: SCOTTSDALE
State: AZ
PostalCode: 852606662
CountryCode: US
TelephoneNumber: 4802561520
FaxNumber: 4804786628
Other Information
ProviderEnumerationDate: 08/06/2013
LastUpdateDate: 02/10/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN9311691FLN Nursing Service ProvidersRegistered Nurse 
163W00000XRN181446AZN Nursing Service ProvidersRegistered Nurse 
367500000XCRNA0962AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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