IndividualActive
Cody Charlton, CRNA
NPI 1720182710 · Certified Registered Nurse Anesthetist · Farmington, NM
Provider details
- NPI number
- 1720182710
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- CRNA-01505 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
801 W Maple St
Farmington, NM 87401-5630
Phone: (505) 609-2258
Fax: (505) 609-2259
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3570
Salt Lake City, UT 84110-3570
Additional practice locations (2)
- 28703 Alessandria CirBonita Springs, FL 34135-8277Phone: (801) 471-3893
- 1034 N 500 WProvo, UT 84604-3337Phone: (801) 357-7850
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.