IndividualActive
Adam Penrose, CRNA
NPI 1215401948 · Certified Registered Nurse Anesthetist · Farmington, NM
Provider details
- NPI number
- 1215401948
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 0001251248 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
801 W Maple St
Farmington, NM 87401-5630
Phone: (505) 609-2000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 844088
Dallas, TX 75284-4088
Registry dates
- Enumerated
- 2019-01-16
- Last updated
- 2024-11-08
- Certified
- 2024-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.