Healthcare Provider Details

I. General information

NPI: 1447252606
Provider Name (Legal Business Name): CATHERINE OBOJSKI CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATHERINE CUTTRELL CRNA

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 04/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 BRADBURY DR SE STE 2222
ALBUQUERQUE NM
87106-4375
US

IV. Provider business mailing address

933 BRADBURY DR SE STE 2222
ALBUQUERQUE NM
87106-4375
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR46403
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA00674
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: