Organization
MIMBRES PROFESSIONAL ANESTHESIA SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISON K GARNER CRNA (PRESIDENT)
(505) 388-4782
Entity
Organization
Contact information
Practice address
1313 E 32ND ST, SILVER CITY, NM 88061-7251
(505) 538-4000
Mailing address
2311 RANCH CLUB RD, SILVER CITY, NM 88061-7807
(505) 388-4782
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200513200
DEPT OF LABOR W/COMP
NM
05
—
48402516
—
NM
01
—
DB8211
RAILROAD MEDICARE - GROUP
NM
01
—
NM006792
BCBS NM
NM
Enumeration date
09/14/2005
Last updated
07/21/2022
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