Individual
DENNIS VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1313 E 32ND ST, SILVER CITY, NM 88061-7251
(575) 538-4000
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
(573) 686-5550
(573) 686-2139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R46045
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173780101
—
TX
01
—
430064431
RAILROAD MEDICARE INDIVID
NM
05
—
G3665
—
NM
01
—
NM006778
INDIVIDUAL BCBS NM
NM
Enumeration date
07/15/2005
Last updated
07/17/2019
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