Jetta Anderson, CPM
NPI 1689026015 · on the registry since 2016
Practice
- Address
- 2018 E Avenida Del Sol
Phoenix, AZ 85024 - Phone
- (602) 717-3731
- Organisation at this address
- Divine Anesthesia Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Midwife
176B00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona