Eydenberg, Kathlyn Marie
Eydenberg, Kathlyn Marie is an sole proprietor health care provider with primary practice located at Mescalero Phs Indian Hospital , Mescalero NM 88340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Eydenberg, Kathlyn Marie can be contacted via phone (505) 464-4441.Contact Information
Primary practice address
Mescalero Phs Indian Hospital
Mescalero NM 88340
Phone: (505) 464-4441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R45087 | New Mexico |
Profile Details
| NPI number | 1134284730 |
|---|---|
| LBN Legal business name | Eydenberg, Kathlyn Marie |
| Credentials | RN, MSN, CPNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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