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Individual

DONNIE A. CROLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
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
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01338
NM
367500000X
Certified Registered Nurse Anesthetist
R699683
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00117119
MS
01
430029810
RAILROAD MEDICARE
Enumeration date
11/16/2005
Last updated
09/17/2016
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