Botne, Providence Musomandera

Botne, Providence Musomandera is an individual health care provider with primary practice located at 2600 Marble , Albuquerque NM 87151-0001. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Botne, Providence Musomandera can be contacted via phone (505) 839-8839.

Contact Information

Primary practice address
2600 Marble Albuquerque NM 87151-0001
Phone: (505) 839-8839
Fax: (505) 839-8989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R53622 New Mexico

Profile Details

NPI number 1326029240
LBN Legal business name Botne, Providence Musomandera
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326029240 NPPES
New Mexico Other R53622 R.N.LICENCE

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