Individual
ANN BOSLEY RUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1235 EIGHTH ST., LAS VEGAS, NM 87701-4219
(505) 425-6788
(505) 425-5408
Mailing address
PO BOX 158, 538 N. PASEO DE ONATE, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R66780
NM
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
581
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68058845
—
NM
01
—
NM400322
MEDICARE PTAN
NM
Enumeration date
03/30/2009
Last updated
07/01/2013
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