NPI: 1124649389 · FLAGSTAFF, AZ 86001 · Certified Registered Nurse Anesthetist · NPI assigned 04/29/2020
| Authorized Official | BEAULIEU, CHARLES (PRESIDENT) |
| NPI Enumeration Date | 04/29/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 18 | $1K |
| 2021 | 37 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 55 | 50 | $5K |