Freelance Anesthesia New Mexico, LLC
Organization Active NPI Certified Registered Nurse Anesthetist · Grants, NM
NPI 1578916482 · NPPES record last updated Jul 14, 2016
Key facts
- NPI
- 1578916482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 0991841 (CO)
- Legal business name
- FREELANCE ANESTHESIA NEW MEXICO, LLC
- Practice address
- 805 E High St
Grants, NM 87020-2448 - Phone
- (918) 704-5556
- Fax
- (866) 550-2242
- NPI assigned
- Jul 14, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- FREELANCE ANESTHESIA, LLC
Authorized official
- Name
- Pamala Lea Wilson, DNAP,CRNA
- Title
- Managing Member
- Phone
- (918) 704-5556
Practitioners 1
-
Pamala Lea Wilson, CRNA
National Provider Directory
- Part of
- Freeland Anesthesia LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | 0991841 | CO | Yes |
Addresses
Primary practice location
805 E High St
Grants, NM 87020-2448
Mailing address
2681 Crimson Clover Rd SW
Los Lunas, NM 87031-6544
Phone (918) 704-5556
Other providers in Grants, NM
- Fedko Emergency Physicians New Mexico LLC
- Fenton Family Medical LLC
- Daniel Edward Fenton II
- Tiffany Shell Flippen
- Forever United Home Care Group LLC
- Friends of Mount Taylor Ambulance
- Leanna M Gaisthia
- Winona L Galindo
- Chris Gallegos
- Timothy M Gallegos
All providers in Grants, NM · Certified Registered Nurse Anesthetist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.