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General NPI Number Information
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NPI Number | 1386214500
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Entity Type | Individual
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Provider Name | BRENNA COTTON CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 6709 ACADEMY RD NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3363
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Country | US
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Telephone | 817-764-7769
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 MONTCLAIRE DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6130
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Country | US
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Telephone | 360-907-7494
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 79688
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License Number State | NM
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