Individual
MS. ROSALIE MARIE GWALTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
044788RN
MO
207L00000X
Anesthesiology Physician
Primary
CRNA00756
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44235097
—
NM
Enumeration date
09/01/2006
Last updated
09/02/2016
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