Coburn, Candida Ladawn
Coburn, Candida Ladawn is an individual health care provider with primary practice located at 1600 N Main Ave , Lovington NM 88260-2830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Coburn, Candida Ladawn can be contacted via phone (575) 396-6611.Contact Information
Primary practice address
1600 N Main Ave
Lovington NM 88260-2830
Phone: (575) 396-6611
Fax: (575) 396-1454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP-02146 | New Mexico |
Profile Details
| NPI number | 1891139259 |
|---|---|
| LBN Legal business name | Coburn, Candida Ladawn |
| Credentials | MSN, RN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2013 |
| Last updated | Mar 14th, 2017 - about 9 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 | 1891139259 | NPPES |
| New Mexico | MEDICAID | 54876079 |
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