Organization
SUNSHINE DAYDREAMS ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L CRAVENS CRNA (PRESIDENT)
(505) 439-6100
Entity
Organization
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(505) 439-6100
Mailing address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(505) 439-6100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA6032
RAILROAD MEDICARE GROUP
NM
01
—
NM006615
NM BCBS GROUP
NM
Enumeration date
07/22/2006
Last updated
07/21/2022
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