Individual
JASON D RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-5368
(505) 913-5375
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-5368
(505) 913-5375
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 01071
NM
367500000X
Certified Registered Nurse Anesthetist
R1557345
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913149300
—
MN
Enumeration date
03/14/2006
Last updated
03/16/2011
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