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Individual

LINDA M HORANBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 841-1956
Mailing address
1720 LOUISIANA BLVD NE, STE 401, ALBUQUERQUE, NM 87110-7020
(505) 260-4300
(505) 260-4338

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R14134
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
533754-01
AZ
05
58530
NM
05
71428861
CO
05
94763
NM
01
NM006216
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/02/2005
Last updated
07/09/2007
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