Individual
DEANNA S IOVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 NORTH MUNDO, DULCE, NM 87528
(575) 759-3291
Mailing address
PO BOX 374, CHAMA, NM 87520-0374
(505) 927-3398
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-71434
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
03/03/2011
Last updated
04/12/2011
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