Individual
MISS MADALENE ADELLA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 383-1143
Mailing address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 383-1143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R60966
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R60966
REGISTERED NURSE
NM
Enumeration date
04/10/2009
Last updated
04/10/2009
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