Individual
ANITA KAY MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-2610
(505) 272-1300
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA00706
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6234305
—
NM
Enumeration date
08/12/2006
Last updated
09/25/2024
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