Individual
MISS ANDREA IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(915) 487-0555
Mailing address
819 MCKELLIGON DR, EL PASO, TX 79902-2007
(915) 487-0555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
71499
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
71499
NM
Other
Enumeration date
05/31/2023
Last updated
06/28/2023
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