OrganizationActive
Cactus Valley Anesthesia PLC
NPI 1639346836 · Certified Registered Nurse Anesthetist · Show Low, AZ
Provider details
- NPI number
- 1639346836
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- John Kycey, Member(602) 273-6770
- License
- RN065393 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone: (602) 273-6770
Fax: (602) 889-0483
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 29211
Phoenix, AZ 85038-9211
Registry dates
- Enumerated
- 2008-05-15
- Last updated
- 2008-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.