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

Dr. Cinderella Famutimi, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1154289007

Dr. Cinderella Famutimi, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lake Havasu City, Arizona. Qualified in 2025, 1 year ago. Practices with Northeastern Anesthesia PLLC, a 83-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2026
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

101 Civic Center Ln
Lake Havasu City, AZ 86403-5607
Phone: (928) 855-8185
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 157170 (AZ)

Record details

NPI number1154289007
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northeastern Anesthesia Pllc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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