Provider Demographics
NPI:1750376976
Name:GARNER, ALISON K (CRNA)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:K
Last Name:GARNER
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 1:2311 RANCH CLUB RD
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061-7807
Mailing Address - Country:US
Mailing Address - Phone:505-388-4782
Mailing Address - Fax:
Practice Address - Street 1:1313 E 32ND ST
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-7251
Practice Address - Country:US
Practice Address - Phone:505-538-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR49673367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM006792OtherBCBS NM INDIVIDUAL
NM48402516Medicaid
NMP00130343OtherRAILROAD MEDICARE INDIVID
NM400521170Medicare PIN
NM344412501Medicare ID - Type UnspecifiedMEDICARE - INDIVIDUAL