Deherrera, Olowan D

Deherrera, Olowan D is an individual health care provider with primary practice located at I-40 Exit 102 Acl Phs Indian Hospital, San Fidel NM 87049-0130. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Deherrera, Olowan D can be contacted via phone (505) 552-5324.

Contact Information

Primary practice address
I-40 Exit 102 Acl Phs Indian Hospital San Fidel NM 87049-0130
Phone: (505) 552-5324
Fax: (505) 552-5490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X R64117 New Mexico

Profile Details

NPI number 1447410196
LBN Legal business name Deherrera, Olowan D
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2008
Last updated Jun 16th, 2008 - about 17 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 1447410196 NPPES
New Mexico Other R64117 NURSING

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