Individual provider · Type 1 NPI

Jack Colt Blaine, CRNA

Certified Registered Nurse Anesthetist · Albuquerque, NM

NPI number 1811999642 Active

Practice location

6709 Academy Rd NE Ste A
Albuquerque, NM 87109-3363

Mailing address

36720 Palm Ct
Rancho Mirage, CA 92270-2206

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000XCRNA0061 (AZ)
Certified Registered Nurse Anesthetist 367500000XAP108435 (TX)
Certified Registered Nurse Anesthetist 367500000XNA1771 (CA)
Certified Registered Nurse Anesthetist Primary 367500000XCRNA00868 (NM)

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…

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About NPI 1811999642

Jack Colt Blaine, CRNA's National Provider Identifier is 1811999642, issued on Aug 11, 2005. 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 Jan 19, 2022.