Organization
FREELANCE ANESTHESIA NEW MEXICO, LLC
Active
Parent organization
FREELANCE ANESTHESIA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREELANCE ANESTHESIA, LLC
Authorized official
PAMALA LEA WILSON DNAP,CRNA (MANAGING MEMBER)
(918) 704-5556
Entity
Organization
Contact information
Practice address
805 E HIGH ST, GRANTS, NM 87020-2448
(918) 704-5556
(866) 550-2242
Mailing address
2681 CRIMSON CLOVER RD SW, LOS LUNAS, NM 87031-6544
(918) 704-5556
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0991841
CO
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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