Individual
MS. TERI BETHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 556-7600
Mailing address
555 S TELSHOR BLVD STE 100B, LAS CRUCES, NM 88011-3644
(216) 225-7989
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0737799
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
58242
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2643858
—
OH
Enumeration date
06/30/2006
Last updated
08/23/2021
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