Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cactus Valley Anesthesia PLC

Organization Certified Registered Nurse Anesthetist · NPI 1639346836

Cactus Valley Anesthesia PLC is a Certified Registered Nurse Anesthetist in Show Low, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008

Practice location Address checks out

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone: (602) 273-6770
Fax: (602) 889-0483
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN065393 (AZ)

Record details

NPI number1639346836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Kycey — Member · (602) 273-6770
NPI enumeratedMay 15, 2008
Last updated in NPPESMay 15, 2008
Mailing addressPo Box 29211, Phoenix, AZ 85038-9211

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