Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mallaro Anesthesia LLC

Organization Certified Registered Nurse Anesthetist · NPI 1104604198

Mallaro Anesthesia LLC provides Certified Registered Nurse Anesthetist services 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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