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Individual

RUTH LEAH KAUFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
9808 RIVERSIDE RD NW, ALBUQUERQUE, NM 87114-1969
(505) 504-6385
Mailing address
9808 RIVERSIDE RD NW, ALBUQUERQUE, NM 87114-1969
(505) 504-6385

Taxonomy

Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
00407R
NM
363LF0000X
Family Nurse Practitioner
Primary
64547
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94584567
NM
01
AZ0919310
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
03/05/2007
Last updated
12/07/2021
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