Mary Rose Korduner CNM

NPI 1629275193 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1629275193
Gender Female
Enumeration Date 06/28/2007
Last Updated 02/29/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
390 CALLE DE ALEGRA
LAS CRUCES NM, 88005-3280, US
Phone (575) 556-8200
Fax (575) 556-8180
Business Location
385 CALLE DE ALEGRA
BLDG. A
LAS CRUCES NM, 88005-3423, US
Phone (575) 526-1105
Fax (575) 532-9019
Toxanomy
Taxonomy Code 367A00000X
License State New Mexico
License Number 672
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According to our database, Mrs. Mary Rose Korduner CNM NPI is 1629275193, taxonomy code is 367A00000X and license number is 672, license state is located at New Mexico. Mary Rose Korduner CNM physically located at 390 Calle De Alegra, Las Cruces NM, 88005-3280. NPI Number Mary Rose Korduner CNM has the Individual type.

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1629275193 NPI number is provided on an as is basis without warranty of any kind. 1629275193 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Rose Korduner CNM are for informational purposes only.