Individual
KARLA DEANNE RADOSEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
7001 TOMBSTONE RD NW, ALBUQUERQUE, NM 87114-3503
(505) 480-5076
Mailing address
7001 TOMBSTONE RD NW, ALBUQUERQUE, NM 87114-3503
(505) 480-5076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R66181
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R66181
NEW MEXICO STATE BOARD OF NURSING
NM
Enumeration date
02/28/2023
Last updated
02/28/2023
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