Tina T Bui-burgos CNP

NPI 1215212246 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1215212246
Gender Female
Enumeration Date 10/21/2011
Last Updated 05/07/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
85 WEST HIGHWAY 22
KEWA PUEBLO HEALTH CORPORATION
SANTO DOMINGO PUEBLO NM, 87052-0340, US
Phone (505) 465-3060
Fax (505) 465-1191
Business Location
PO BOX 340
KEWA PUEBLO HEALTH CORPORATION
SANTO DOMINGO PUEBLO NM, 87052-0340, US
Phone (505) 465-3060
Fax (505) 465-1191
Toxanomy
Taxonomy Code 363LF0000X
License State New Mexico
License Number CNP01857
Remove 1215212246 NPI Number
 

According to our database, Mrs. Tina T Bui-burgos CNP NPI is 1215212246, taxonomy code is 363LF0000X and license number is CNP01857, license state is located at New Mexico. Tina T Bui-burgos CNP physically located at 85 West Highway 22, Santo Domingo Pueblo NM, 87052-0340. NPI Number Tina T Bui-burgos CNP has the Individual type.

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1215212246 NPI number is provided on an as is basis without warranty of any kind. 1215212246 is maintained by the National Plan & Provider Enumeration System. The contents of Tina T Bui-burgos CNP are for informational purposes only.