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Individual

MS. MAUREEN KOLOMEIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CNP

Contact information

Practice address
5345 WYOMING BLVD, SUITE 101, ALBUQUERQUE, NM 87109-3193
(505) 856-6898
(505) 292-1574
Mailing address
8205 SPAIN RD NE, SUITE 106, ALBUQUERQUE, NM 87109-3155
(505) 384-7352
(505) 274-7338

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-01573
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
84887231
NM
Enumeration date
01/30/2010
Last updated
01/28/2014
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