MALLARO ANESTHESIA LLC
NPI 1104604198
Nurse Anesthetist, Certified Registered in Prescott, AZ

Q: What is Mallaro Anesthesia LLC's NPI number?

The NPI number for Mallaro Anesthesia LLC is 1104604198. It was assigned to this organization in the NPPES registry on September 20, 2023.

Q: What is Mallaro Anesthesia LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since September 20, 2023

1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301(325) 675-6466(325) 692-6030 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mallaro Anesthesia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLARO ANESTHESIA LLC (NPI 1104604198) is a healthcare organization registered as a nurse anesthetist, certified registered in Prescott, Arizona and active in the NPI registry since September 2023. The organization lists Poppy Walker, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1104604198

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameMALLARO ANESTHESIA LLC

Location Address1615 PETROGLYPH POINT DRPrescott, AZ 86301-6539

Mailing Address3301 S 14th St Ste 16180Abilene, TX 79605-5015 · (325) 675-6466 · Fax (325) 692-6030

Phone(325) 675-6466

Fax(325) 692-6030

Organization SubpartNo

Authorized OfficialPoppy WalkerPractice Administrator · (325) 675-6466

Enumeration DateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1104604198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1615 PETROGLYPH POINT DR, Prescott, AZ 86301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK D FETTER MD PC

Orthopaedic Surgery (Hand Surgery)

1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301

Yavapai County (480) 985-1093

ADVANCED PLASTIC SURGERY CENTER, L.L.C.

Clinic/Center (Ambulatory Surgical)

1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301

Yavapai County (928) 777-0200

MARK FETTER M.D.

Specialist

1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301

Yavapai County (928) 777-0200

PHOENIX ANESTHESIA SPECIALISTS, LLC

Nurse Anesthetist, Certified Registered

1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301

Yavapai County (325) 660-5535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallaro Anesthesia LLC's NPI number?

The NPI number for Mallaro Anesthesia LLC is 1104604198. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Mallaro Anesthesia LLC located?

Mallaro Anesthesia LLC is located at 1615 Petroglyph Point Dr, Prescott, AZ 86301. The listed phone number is (325) 675-6466.

What is Mallaro Anesthesia LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Mallaro Anesthesia LLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.