Providence Musomander Botne in Albuquerque - Psychiatric/mental Health, Adult

Providence Musomander Botne - NPI 1326029240

Providence Musomander Botne is a Psychiatric/mental Health, Adult in Albuquerque, New Mexico. Providence Musomander Botne practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Providence Musomander Botne is 1326029240. The last update date is 2007-07-08.

Providence Musomander Botne's current location address is 2600 Marble, Albuquerque, New Mexico. You can contact this provider via phone number 5058398839 and fax number 5058398989. The mailing address for Providence Musomander Botne is 2600 Marble, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Providence Musomander Botne
Address 2600 Marble, Albuquerque, New Mexico
Phone Number 5058398839
Fax Number 5058398989
Sole Proprietor X
Credentials R.N.

NPI Number Detail

NPI Number 1326029240
Provider Enumeration Date 2005-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2600 Marble
City Albuquerque
State New Mexico (NM)
Post Code 871510001
Phone Number 5058398839
Fax Number 5058398989

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 163Wp0809X
Licence No R53622
Definition:
A psychiatric nurse who cares for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
R53622 NM R.N.LICENCE

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FAQs about Providence Musomander Botne

What is the unique 10-digit identification code issued to Providence Musomander Botne by the Centers for Medicare & Medicaid Services?

The Providence Musomander Botne has been assigned the NPI (National Provider Identifier) 1326029240 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Providence Musomander Botne's physical address?

The Providence Musomander Botne is physically located at 2600 Marble, in the city of Albuquerque, NM, with the postal code 871510001.

What is Providence Musomander Botne's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Providence Musomander Botne is Psychiatric/mental Health, Adult, and the taxonomy code that classifies this field of practice is 163Wp0809X.

On what date did the Providence Musomander Botne receive its 1326029240 assignment from the Centers for Medicare & Medicaid Services?

The Providence Musomander Botne was assigned its 1326029240 by the Centers for Medicare & Medicaid Services on 2005-11-08.

When was the information pertaining to Providence Musomander Botne most recently updated or revised?

The details related to Providence Musomander Botne, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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