Individual
ZACH PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-7878
Mailing address
1708 VISTA DE COLINAS DR SE, RIO RANCHO, NM 87124-3295
(505) 554-0433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-69306
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
66578
NM
Other
Enumeration date
06/30/2021
Last updated
02/01/2024
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