Gwen Patriarca is a Audiologist in Clovis, New Mexico. Gwen Patriarca practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Gwen Patriarca is 1679606677. The last update date is 2017-11-01.
Gwen Patriarca's current location address is Po Box 19000, Clovis, New Mexico. You can contact this provider via phone number 5757694490 and fax number 5757694533. The mailing address for Gwen Patriarca is Po Box 19000, Clovis, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwen Patriarca |
|---|---|
| Address | Po Box 19000, Clovis, New Mexico |
| Phone Number | 5757694490 |
| Fax Number | 5757694533 |
| Sole Proprietor | Y |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1679606677 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2017-11-01 |
Provider Mailing Address Detail
| Address | Po Box 19000 |
|---|---|
| City | Clovis |
| State | New Mexico (NM) |
| Post Code | 881029000 |
| Phone Number | 5757694490 |
| Fax Number | 5757694533 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 655 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K 3216 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gwen Patriarca by the Centers for Medicare & Medicaid Services (CMS)?
The Gwen Patriarca has been assigned the NPI (National Provider Identifier) 1679606677. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Gwen Patriarca is physically located?
The Gwen Patriarca is physically situated at the following address: Po Box 19000, Clovis, NM, 881029000.
What is Gwen Patriarca's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gwen Patriarca is Audiologist, and the taxonomy code that classifies this field of practice is 231H00000X.
On what date did the Gwen Patriarca receive the assignment of its 1679606677 from the Centers for Medicare & Medicaid Services?
The Gwen Patriarca was issued its 1679606677 by the Centers for Medicare & Medicaid Services on 2007-03-13.
When was the information regarding Gwen Patriarca, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gwen Patriarca, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-11-01.