Individual provider · Type 1 NPI
Marc Zephire Peterson, CRNA
Certified Registered Nurse Anesthetist · Lake Havasu, AZ
Practice location
101 Civic Center Lane, Havasu Regional Medical Center
Lake Havasu, AZ 86403
Mailing address
2770 Squall King Dr
Lake Havasu City, AZ 86404-3304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 14-126823-061 (KS) |
| Registered Nurse | 163W00000X | 5909731-3102 (UT) |
| Certified Registered Nurse Anesthetist Primary | 367500000X | CRNA1248 (AZ) |
| Registered Nurse | 163W00000X | RN202234 (AZ) |
Certified Registered Nurse Anesthetist: (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 creden…
2 other providers at this address
About NPI 1609323260
Marc Zephire Peterson, CRNA's National Provider Identifier is 1609323260, issued on Sep 1, 2016. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Lake Havasu, AZ. The record was last updated on Nov 8, 2016.