Individual
SAMUEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1720 LOUISIANA BLVD NE, SUITE 401, ALBUQUERQUE, NM 87110-7022
(505) 260-4300
(505) 260-4371
Mailing address
1720 LOUISIANA BLVD NE, SUITE 401, ALBUQUERQUE, NM 87110-7022
(505) 260-4300
(505) 260-4371
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01470
NM
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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