Individual
AMANDA RAE CARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 556-7600
Mailing address
24 KC ROAD, ALAMOGORDO, NM 88310
(575) 425-0605
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R057362
SD
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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