Individual
AMANDA CURVIN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(334) 221-2732
Mailing address
6721 HENSCH AVE NE, ALBUQUERQUE, NM 87109-6906
(334) 221-2732
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-145537
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
61864
NM
Other
Enumeration date
06/24/2019
Last updated
12/07/2021
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