Individual
BRETT ELLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3361
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R234862
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
60520
NM
Other
Enumeration date
05/29/2020
Last updated
07/08/2020
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