Individual
KATE GOLDBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
303 MULBERRY NE, ALBUQUERQUE, NM 87106
(505) 243-9739
(505) 842-0650
Mailing address
303 MULBERRY NE, ALBUQUERQUE, NM 87106
(505) 243-9739
(505) 842-0650
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
R11582
NM
363LF0000X
Family Nurse Practitioner
Primary
0293583-22
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293583-22
NURSE PRACTITIONER/ANCC
NM
05
—
28528042
—
NM
Enumeration date
07/08/2005
Last updated
11/05/2008
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