Bubenzer, Theresa Ann

Bubenzer, Theresa Ann is an individual health care provider with primary practice located at 3917 West Rd Ste A , Los Alamos NM 87544-2292. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bubenzer, Theresa Ann can be contacted via phone (505) 661-8900.

Contact Information

Primary practice address
3917 West Rd Ste A Los Alamos NM 87544-2292
Phone: (505) 661-8900
Fax: (505) 661-8916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002349A Indiana
Nursing Service Providers / Registered Nurse 163W00000X RN-75785 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-01998 New Mexico

Profile Details

NPI number 1811025703
LBN Legal business name Bubenzer, Theresa Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Sep 23rd, 2015 - about 10 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 1811025703 NPPES
Indiana Other 71002349A NP LICENSE
Indiana Other CNP-01998 NP LICENSE

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