Black, Amylia Ashley

Black, Amylia Ashley is an sole proprietor health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Black, Amylia Ashley can be contacted via phone (505) 609-6623.

Contact Information

Primary practice address
801 W Maple St Farmington NM 87401-5630
Phone: (505) 609-6623
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 90687 New Mexico

Profile Details

NPI number 1881947372
LBN Legal business name Black, Amylia Ashley
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2012
Last updated Jul 21st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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