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

Mallaro Anesthesia LLC

Organization Certified Registered Nurse Anesthetist · NPI 1104604198

Mallaro Anesthesia LLC is a Certified Registered Nurse Anesthetist in Prescott, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1615 Petroglyph Point Dr
Prescott, AZ 86301-6539
Phone: (325) 675-6466
Fax: (325) 692-6030
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

Record details

NPI number1104604198
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Poppy Walker — Practice Administrator · (325) 675-6466
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address3301 S 14th St Ste 16180, Abilene, TX 79605-5015

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