Korduner, Mary Rose

Korduner, Mary Rose is an individual health care provider with primary practice located at 385 Calle De Alegra Bldg C , Las Cruces NM 88005-3423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Korduner, Mary Rose can be contacted via phone (575) 556-8200.

Contact Information

Primary practice address
385 Calle De Alegra Bldg C Las Cruces NM 88005-3423
Phone: (575) 556-8200
Fax: (575) 521-7199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 672 New Mexico

Profile Details

NPI number 1629275193
LBN Legal business name Korduner, Mary Rose
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Aug 30th, 2018 - about 8 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 1629275193 NPPES
New Mexico MEDICAID 888877
New Mexico Other 342503YRND

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