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Individual

ELIZABETH C. DYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5554
(505) 946-3173
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5554
(505) 946-3173

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R28511
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202005689
PHP MOO SALUD
NM
05
363094
AZ
05
93708
NM
Enumeration date
06/17/2006
Last updated
10/15/2010
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