Individual
MICHAEL DAVID NOLTENSMEYER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
211 SUDDERTH DR, RUIDOSO, NM 88345-6002
(505) 257-7381
(505) 260-4338
Mailing address
1720 LOUISIANA BLVD NE, STE 401, ALBUQUERQUE, NM 87110-7020
(505) 260-4300
(505) 260-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R16486
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22267
—
NM
05
—
59147
—
NM
05
—
750192
—
AZ
01
—
NM006219
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/01/2005
Last updated
07/09/2007
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