Individual provider · Type 1 NPI

Jacqueline Otake

Certified Registered Nurse Anesthetist · Albuquerque, NM

NPI number 1720769763 Active · reactivated Aug 29, 2024

Practice location

1100 Central Ave SE
Albuquerque, NM 87106-4930

Mailing address

8770 Washington Blvd Apt 420
Culver City, CA 90232-2482

Other practice locations

  • 5 Alumni Dr, Exeter, NH 03833-2160 · (603) 778-7311
  • 12222 Merit Dr Ste 600, Dallas, TX 75251-3294 · (972) 715-5000

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X1229584 (TX)
Certified Registered Nurse Anesthetist 367500000X80042 (NM)
Certified Registered Nurse Anesthetist 367500000X114672-23 (NH)

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…

423 other providers at this address

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About NPI 1720769763

Jacqueline Otake's National Provider Identifier is 1720769763, issued on Jul 31, 2023. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 16, 2026.