Individual
MR. STEPHEN FRANK CRISCUOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN-CRNA
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
Mailing address
5601 PIKES PEAK LOOP NE, RIO RANCHO, NM 87144-1012
(484) 477-8598
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
60890
NM
367500000X
Certified Registered Nurse Anesthetist
783147
TX
367500000X
Certified Registered Nurse Anesthetist
AP119747
TX
Other
Enumeration date
12/15/2010
Last updated
09/11/2020
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