SAMUEL BERGENER

FARMINGTON, NM
NPI1780724419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  63318)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  N-26821)
367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  MB2468470)
Enumeration Date2007-02-08
Last Update Date2023-01-31
Business Address
SAMUEL BERGENER CRNA
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-609-2000
Mailing Address
SAMUEL BERGENER CRNA
11511 NE 10TH ST
BELLEVUE, WA 98004-8578
Phone number: 425-502-3000