Individual
TINA BIBERDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4820 E MAIN ST, FARMINGTON, NM 87402-8660
(505) 609-6495
Mailing address
4820 E MAIN ST, FARMINGTON, NM 87402-8660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64160
NM
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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