Individual
MRS. DEBORAH ANNE WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Mailing address
826 N 5TH ST, BELEN, NM 87002-4006
(505) 864-7911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L15356
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L15356
NURSING LICENSE
NM
Enumeration date
05/22/2007
Last updated
07/08/2007
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