person
Mr. Jack Colt Blaine, CRNA
Certified Registered Nurse Anesthetist in Albuquerque, New Mexico
NPI 1811999642

Jack Colt Blaine is a Certified Registered Nurse Anesthetist based in Rancho Mirage, NM. Jack Colt Blaine practices in Albuquerque, NM and has the professional credentials of CRNA. The NPI Number for Jack Colt Blaine is 1811999642 and holds a License No. CRNA0061 (New Mexico).

The current practice location address for Jack Colt Blaine is 6709 Academy Rd Ne Ste A, Albuquerque, NM and can be reached out via phone at 505-312-4712. You can also correspond with Jack Colt Blaine through the mailing address at 36720 PALM CT, RANCHO MIRAGE, CA - 92270-2206 (mailing address contact number: 619-994-2941).

Location: 6709 Academy Rd Ne Ste A, Albuquerque, NM, 92270-2206
person
Provider Profile Details
NPI Number
1811999642
Provider Name
Jack Colt Blaine
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
6709 Academy Rd Ne Ste A, Albuquerque, NM, 92270-2206
Phone Number
505-312-4712
Fax Number
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6709 Academy Rd Ne Ste A
City
State
Zip
87109-3363
Phone Number
505-312-4712
Fax Number
person
Provider Business Mailing Address Details
Address
36720 Palm Ct
City
State
Zip
92270-2206
Phone Number
619-994-2941
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
License No.
CRNA0061 (Arizona)
Definition
(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 credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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