Individual
BRYCE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(801) 529-3439
Mailing address
2865 CYPRESS TRACE CIR APT 102, NAPLES, FL 34119-8494
(801) 529-3439
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125896
NM
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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