NPI 1245215938

Loretta Kendricks, CRNA

Practitioner Certified Registered Nurse Anesthetist Gallup, NM

Practice location

Address: 516 East Nizhoni Blvd., Gallup, NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1421
Mailing address: P.O. Box 1337, Gallup, NM 87305-1337

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 209004287 (IL)

Other Nurse Anesthetist, Certified Registered providers in New Mexico →

Registry record

NPI: 1245215938
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2005
Record last updated: 27 Jan 2010

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.