Individual
PAULINE C BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7788 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4342
(505) 999-1600
(505) 999-1655
Mailing address
7788 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4342
(505) 999-1600
(505) 999-1655
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R51471
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14203863
—
NM
05
—
865496
—
AZ
05
—
87807
—
NM
01
—
NM006A10
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/01/2005
Last updated
10/15/2015
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