Degenevieve, Karen
Degenevieve, Karen is an individual health care provider with primary practice located at 1313 E 32Nd St , Silver City NM 88061-7251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Degenevieve, Karen can be contacted via phone (575) 538-4009.Contact Information
Primary practice address
1313 E 32Nd St
Silver City NM 88061-7251
Phone: (575) 538-4009
Fax: (575) 538-4003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R28079 | New Mexico |
Profile Details
| NPI number | 1134203334 |
|---|---|
| LBN Legal business name | Degenevieve, Karen |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Feb 10th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134203334 | NPPES |
| New Mexico | MEDICAID | Z13151 | |
| New Mexico | Other | 342653YMKS | |
| New Mexico | Other | NM301740 | |
| New Mexico | MEDICAID | 000Z1351 |
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