Provider Demographics
NPI:1568866176
Name:SUNIGA, EVA (CRNA)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:SUNIGA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3957 AGUA DE VIDA DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-7669
Mailing Address - Country:US
Mailing Address - Phone:505-250-9537
Mailing Address - Fax:
Practice Address - Street 1:3957 AGUA DE VIDA DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88012-7669
Practice Address - Country:US
Practice Address - Phone:505-250-9537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-10
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCRNA - 01315367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered