Individual
MS. KATHY ANN TOUPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 841-1956
Mailing address
7912 E 31ST CT, STE 210, TULSA, OK 74145-1315
(918) 392-4477
(918) 392-4465
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA - 01058
NM
367500000X
Certified Registered Nurse Anesthetist
R0073935
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200041630A
—
OK
01
—
202040876
PHP SALUD
NM
01
—
900522349
MEDICARE GROUP PIN
OK
Enumeration date
06/28/2005
Last updated
02/23/2010
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