Individual
RAIZA STEPHANIE MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-7878
Mailing address
4101 INDIAN SCHOOL RD NE STE 110, ALBUQUERQUE, NM 87110-3991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-85664
NM
363LG0600X
Gerontology Nurse Practitioner
CNP-03492
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
80409
NM
Other
Enumeration date
12/18/2017
Last updated
07/17/2025
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