Rekow, Michaela Moran
Rekow, Michaela Moran is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne , Albuquerque NM 87106-2719. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Rekow, Michaela Moran can be contacted via phone (651) 491-8529.Contact Information
Primary practice address
2211 Lomas Blvd Ne
Albuquerque NM 87106-2719
Phone: (651) 491-8529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | PA2021-0073 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2021-0073 | New Mexico |
Profile Details
| NPI number | 1538711841 |
|---|---|
| LBN Legal business name | Rekow, Michaela Moran |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2019 |
| Last updated | Jul 12th, 2023 - about 3 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 | 1538711841 | NPPES |
| Wisconsin | MEDICAID | 1538711841 |
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