Clemens, Audra Dawn
Clemens, Audra Dawn is an individual health care provider with primary practice located at 303 Roma Ave Nw , Albuquerque NM 87102-2251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Clemens, Audra Dawn can be contacted via phone (505) 262-3542.Contact Information
Primary practice address
303 Roma Ave Nw
Albuquerque NM 87102-2251
Phone: (505) 262-3542
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2008-0015 | New Mexico |
Profile Details
| NPI number | 1003062738 |
|---|---|
| LBN Legal business name | Clemens, Audra Dawn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2008 |
| Last updated | Apr 9th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003062738 | NPPES |
| New Mexico | MEDICAID | 27483754 |
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