IndividualActive
Amylia Black, CRNA
NPI 1881947372 · Certified Registered Nurse Anesthetist · Farmington, NM
Provider details
- NPI number
- 1881947372
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 90687 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2300 E 30th St Bldg a
Farmington, NM 87401-8991
Phone: (505) 564-2300
Approximate (ZIP-level) locationGet directions
Mailing address
3208 N Cochiti Ave
Farmington, NM 87401-2052
Registry dates
- Enumerated
- 2012-10-21
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.