Individual provider · Type 1 NPI

Loretta Kendricks, CRNA

Certified Registered Nurse Anesthetist · Gallup, NM

NPI number 1245215938 Active

Practice location

516 East Nizhoni Blvd.
Gallup, NM 87301-1337

Fax (505) 722-1421

Mailing address

PO Box 1337
Gallup, NM 87305-1337

Other practice locations

  • 1005 Broadway St, Quincy, IL 62301-2834 · (217) 223-8400

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X209004287 (IL)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

37 other providers at this address

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About NPI 1245215938

Loretta Kendricks, CRNA's National Provider Identifier is 1245215938, issued on Dec 14, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Gallup, NM. The record was last updated on Sep 18, 2026.