TIFFANY DENNIE CRNA
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1487309415- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CRNA
- Status
- Active
Contact & Location
- Address
- 801 W MAPLE ST, FARMINGTON, NM, 874015630
- Phone
- (505) 609-2000
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
Primary License: NM #69365
Registered Nurse, Critical Care Medicine
License: FL #RN9408616
Nurse Anesthetist, Certified Registered
License: TX #1073553