Individual
MR. THOMAS CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2560 SAMARITAN DR, LAS CRUCES, NM 88001-1170
(800) 421-8274
Mailing address
7550 PYRAMID PEAK LN, LAS CRUCES, NM 88011-8386
(314) 910-1738
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
113575
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA00749
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39700755
—
NM
05
—
ENROLLED
—
IL
Enumeration date
07/19/2006
Last updated
10/14/2024
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