Healthcare Provider Details

I. General information

NPI: 1770368052
Provider Name (Legal Business Name): FRANCIS K QUARTEY CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6925 ALAMEDA BLVD NE APT 202
ALBUQUERQUE NM
87113-2674
US

IV. Provider business mailing address

6925 ALAMEDA BLVD NE APT 202
ALBUQUERQUE NM
87113-2674
US

V. Phone/Fax

Practice location:
  • Phone: 302-365-4535
  • Fax:
Mailing address:
  • Phone: 302-365-4535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number158227
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number212270
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: