Domrzalski, Mary Anne
Domrzalski, Mary Anne is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4930. 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. Domrzalski, Mary Anne can be contacted via phone (505) 841-1234.Contact Information
Primary practice address
1100 Central Ave Se
Albuquerque NM 87106-4930
Phone: (505) 841-1234
Fax: (505) 841-1956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R33166 | New Mexico |
Profile Details
| NPI number | 1194799924 |
|---|---|
| LBN Legal business name | Domrzalski, Mary Anne |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Aug 13th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194799924 | NPPES |
| New Mexico | Other | 202037169 | PHP |
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