Individual
MS. MAXINE ROSE HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87108-1434
(505) 265-9511
(505) 268-4653
Mailing address
719 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87108-1434
(505) 944-2021
(505) 266-1710
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APN.0990300-NP
CO
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP-01920
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15222098
—
NM
Enumeration date
04/11/2012
Last updated
04/02/2021
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