Individual
ISABEL FAIRCLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-7800
Mailing address
8012 WAGON MOUND DR NW, ALBUQUERQUE, NM 87120-2845
(919) 630-6441
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
80902
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/21/2023
Last updated
11/04/2024
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