Beverwyk-Abouda, Tana Elizabeth

Beverwyk-Abouda, Tana Elizabeth is an sole proprietor health care provider with primary practice located at 628 N Riverside Dr Ste C , Espanola NM 87532-2620. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Beverwyk-Abouda, Tana Elizabeth can be contacted via phone (505) 927-8516.

Contact Information

Primary practice address
628 N Riverside Dr Ste C Espanola NM 87532-2620
Phone: (505) 927-8516
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 798784 New Mexico

Profile Details

NPI number 1770170219
LBN Legal business name Beverwyk-Abouda, Tana Elizabeth
Credentials CPT, EIM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2020
Last updated Dec 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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