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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 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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