Olowan D Deherrera in San Fidel - Community Health

Olowan D Deherrera - NPI 1447410196

Olowan D Deherrera is a Community Health in San Fidel, New Mexico. Olowan D Deherrera practices all healthcare services and medical treatments related to Community Health. The NPI Number for Olowan D Deherrera is 1447410196. The last update date is 2008-06-16.

Olowan D Deherrera's current location address is Po Box 130, San Fidel, New Mexico. You can contact this provider via phone number 5055525324 and fax number 5055525490. The mailing address for Olowan D Deherrera is Po Box 130, San Fidel, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Olowan D Deherrera
Address Po Box 130, San Fidel, New Mexico
Phone Number 5055525324
Fax Number 5055525490
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1447410196
Provider Enumeration Date 2008-06-16
Last Updated Date 2008-06-16

Provider Mailing Address Detail

Address Po Box 130
City San Fidel
State New Mexico (NM)
Post Code 870490130
Phone Number 5055525324
Fax Number 5055525490

Provider's Primary Taxonomy Detail

Speciality Community Health
Taxonomy 163Wc1500X
Licence No R64117
Definition:
A registered nurse who improves the health of entire communities and populations.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
R64117 NM NURSING

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FAQs about Olowan D Deherrera

What is the unique identification code assigned to Olowan D Deherrera by the Centers for Medicare & Medicaid Services?

The Olowan D Deherrera has been issued the NPI (National Provider Identifier) 1447410196. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Olowan D Deherrera's facilities are situated?

The facilities of Olowan D Deherrera are physically located at the following address: Po Box 130, San Fidel, NM, 870490130.

What is Olowan D Deherrera's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Olowan D Deherrera is Community Health, and the taxonomy code that categorizes this field of expertise is 163Wc1500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1447410196 to Olowan D Deherrera?

The Olowan D Deherrera received its 1447410196 assignment from the Centers for Medicare & Medicaid Services on 2008-06-16.

As of what date were the Olowan D Deherrera's details last updated?

The information pertaining to the Olowan D Deherrera, including its address, specialty, and other details, was most recently updated on 2008-06-16.

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