Provider Demographics
NPI:1467855197
Name:CRIVINEANU, ROXANA BIANCA (AA-C)
Entity Type:Individual
Prefix:MS
First Name:ROXANA
Middle Name:BIANCA
Last Name:CRIVINEANU
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Gender:F
Credentials:AA-C
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Mailing Address - Street 1:933 BRADBURY DR SE
Mailing Address - Street 2:SUITE 2222
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4374
Mailing Address - Country:US
Mailing Address - Phone:505-272-3120
Mailing Address - Fax:505-272-8060
Practice Address - Street 1:2211 LOMAS BLVD NE
Practice Address - Street 2:200-ACM, 2ND FLOOR OF MAIN HOSPITAL
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2719
Practice Address - Country:US
Practice Address - Phone:505-272-2610
Practice Address - Fax:505-272-1300
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2023-10-26
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Provider Licenses
StateLicense IDTaxonomies
NMAA2014-011367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant