Brown, Pauline C
Brown, Pauline C is an individual health care provider with primary practice located at 7788 Jefferson St Ne , Albuquerque NM 87109-4342. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Brown, Pauline C can be contacted via phone (505) 999-1600.Contact Information
Primary practice address
7788 Jefferson St Ne
Albuquerque NM 87109-4342
Phone: (505) 999-1600
Fax: (505) 999-1655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R51471 | New Mexico |
Profile Details
| NPI number | 1346242583 |
|---|---|
| LBN Legal business name | Brown, Pauline C |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Oct 15th, 2015 - 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 | 1346242583 | NPPES |
| New Mexico | MEDICAID | 87807 | |
| New Mexico | MEDICAID | 14203863 | |
| New Mexico | MEDICAID | 865496 | |
| New Mexico | Other | NM006A10 |
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