OrganizationActive
Advanced Anesthesia Group, LLC
NPI 1790720241 · Certified Registered Nurse Anesthetist · Prescott, AZ
Provider details
- NPI number
- 1790720241
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Donald Snyder, Cfo
Practice location
1680 Willow Creek Rd
Prescott, AZ 86301-1108
Phone: (602) 955-1000
Fax: (602) 508-4830
Mailing address
4800 N 22nd St
Phoenix, AZ 85016-4701
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2007-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.