Individual
AMY R MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD CDE
Contact information
Practice address
318 ABALONE LOOP, MESCALERO INDIAN HEALTH SERVICES HOSPITAL, MESCALERO, NM 88340-0210
(505) 464-3861
(505) 464-4422
Mailing address
318 ABALONE LOOP, MESCALERO INDIAN HEALTH SERVICES HOSPITAL, MESCALERO, NM 88340-0210
(505) 464-3861
(505) 464-4422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT01613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01902253
—
NM
Enumeration date
09/22/2006
Last updated
07/08/2007
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