Freelance Anesthesia New Mexico, LLC

NPI #1578916482 in Grants, New Mexico

Provider Information

NPI Number
1578916482
Entity Type
Organization
Organization Name
Freelance Anesthesia New Mexico, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FREELANCE ANESTHESIA, LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jul 14, 2016
Last Updated
Jul 14, 2016

Practice Location

Address
805 E HIGH ST
City
Grants
ZIP Code
87020-2448
Phone
(918) 704-5556

Authorized Official

Name
PAMALA LEA WILSON, DNAP,CRNA
Title
MANAGING MEMBER
Phone
(918) 704-5556

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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