Individual
LAURA M. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
905 KINLEY AVENUE NW, ALBUQUERQUE, NM 87104
(505) 242-2400
Mailing address
905 KINLEY AVENUE NW, ALBUQUERQUE, NM 87104
(505) 242-2400
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP9163037
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01261
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941156
—
AL
05
—
308160500
—
FL
01
—
591-91294
BLUE CROSS BLUE SHIELD
AL
01
—
G4164
BLUE CROSS BLUE SHIELD
FL
01
—
P00380939
MEDICARE RAILROAD
FL
Enumeration date
02/07/2007
Last updated
11/04/2015
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