NPI 1215401948

Adam Russell Penrose, CRNA

Practitioner Certified Registered Nurse Anesthetist Farmington, NM

Practice location

Address: 801 W Maple St, Farmington, NM 87401-5630
Phone: (505) 609-2000
Mailing address: PO Box 844088, Dallas, TX 75284-4088

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 66709 (NM)

Other Nurse Anesthetist, Certified Registered providers in New Mexico →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 0001251248 (VA)

Registry record

NPI: 1215401948
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2019
Record last updated: 8 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.