Mallaro Anesthesia LLC
Mallaro Anesthesia LLC is a healthcare organization registered as Certified Registered Nurse Anesthetist in Prescott, AZ, holding Type 2 (organization) NPI 1104604198 since 2023. The authorized official on file is Poppy Walker, Practice Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104604198 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mallaro Anesthesia LLC |
| Practice address | 1615 PETROGLYPH POINT DR, Prescott, AZ, 86301 |
| Phone | 3256756466 |
| Fax | 3256926030 |
| Enumeration date | 2023-09-20 |
| Last updated in NPPES | 2023-09-20 |
Authorized official
| Name | Poppy Walker |
|---|---|
| Title | Practice Administrator |
| Phone | 3256756466 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 367500000X | Certified Registered Nurse Anesthetist | Primary | — | — |
Copy-ready billing details
Provider: Mallaro Anesthesia LLC NPI: 1104604198 Taxonomy: 367500000X (Certified Registered Nurse Anesthetist) Address: 1615 PETROGLYPH POINT DR, Prescott, AZ, 86301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568427490 | Mark Fetter | Individual | Specialist | Prescott, AZ |
| 1124107206 | Mark D Fetter MD PC | Organization | Orthopaedic Hand Surgery Physician | Prescott, AZ |
| 1447458591 | Advanced Plastic Surgery Center, L.L.C. | Organization | Ambulatory Surgical Clinic/Center | Prescott, AZ |
| 1932733565 | Phoenix Anesthesia Specialists, LLC | Organization | Certified Registered Nurse Anesthetist | Prescott, AZ |
Verify this record
Cross-check NPI 1104604198 against the authoritative CMS record: view Mallaro Anesthesia LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Mallaro Anesthesia LLC?
Who is the authorized official for Mallaro Anesthesia LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-20.