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NPI Code Detail

MEDICARE: EVA SUNIGA CRNA

MEDICARE: EVA SUNIGA CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistCRNA - 01315NM

General Provider Information

NPI Number : 1568866176
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA SUNIGA CRNA
Provider Business Mailing Address
First Line : 3957 AGUA DE VIDA DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-7669
Country : US
Telephone Number : 505-250-9537
Fax Number :
Provider Business Practice Location Address
First Line : 3957 AGUA DE VIDA DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-7669
Country : US
Telephone Number : 505-250-9537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2014
Last Update Date : 03/20/2017

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