Individual provider · Type 1 NPI

Jaden Peterson, CRNA

Certified Registered Nurse Anesthetist · Phoenix, AZ

NPI number 1972332658 Active

Practice location

6501 N 19th Ave
Phoenix, AZ 85015-1646

Mailing address

7301 N 16th St Ste 102
Phoenix, AZ 85020-5266

Other practice locations

  • 1120 15th St, Augusta, GA 30912-0004 · (435) 619-5548

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200XRN316201 (GA)
Certified Registered Nurse Anesthetist Primary 367500000X328674 (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…

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About NPI 1972332658

Jaden Peterson, CRNA's National Provider Identifier is 1972332658, issued on Jul 30, 2024. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 11, 2025.