Julie Marie Pederson RN

NPI 1366550444 - Registered Nurse - 163W00000X

NPI Details
NPI 1366550444
Gender Female
Enumeration Date 08/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6349 HIGHWAY 550
CUBA NM, 87013, US
Phone (505) 289-3291
Fax (505) 289-2320
Business Location
PO BOX 142
GALLINA NM, 87017-0142, US
Phone (505) 638-0182
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New Mexico
License Number R26856
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According to our database, Ms. Julie Marie Pederson RN NPI is 1366550444, taxonomy code is 163W00000X and license number is R26856, license state is located at New Mexico. Julie Marie Pederson RN physically located at 6349 Highway 550, Cuba NM, 87013. NPI Number Julie Marie Pederson RN has the Individual type.

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1366550444 NPI number is provided on an as is basis without warranty of any kind. 1366550444 is maintained by the National Plan & Provider Enumeration System. The contents of Julie Marie Pederson RN are for informational purposes only.