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NPI Code Detail

MEDICARE: MRS. ANGELA D FRIETZE CRNA

MEDICARE: MRS. ANGELA D FRIETZE 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-01162NM

General Provider Information

NPI Number : 1679877476
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA D FRIETZE CRNA
Provider Business Mailing Address
First Line : PO BOX 1908
Second Line :
City : CLOUDCROFT
State : NM
Zip : 88317-1908
Country : US
Telephone Number : 605-413-3795
Fax Number :
Provider Business Practice Location Address
First Line : 2450 S TELSHOR BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-5076
Country : US
Telephone Number : 575-642-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2011
Last Update Date : 03/10/2023

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