Individual
DR. ANDREA FRANCHESCA REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6709 ACADEMY RD NE STE A, ALBUQUERQUE, NM 87109-3363
(505) 308-3145
Mailing address
107 JOHNSON MESA, SANTA FE, NM 87508-4806
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
65244
NM
367500000X
Certified Registered Nurse Anesthetist
RN661420
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS00230885
CONTROLLED SUBSTANCE LICENSE
NM
Enumeration date
10/03/2019
Last updated
07/30/2024
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