Individual
REBECCA L WITTENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
300 OAK ST NE, 300, ALBUQUERQUE, NM 87106-4725
(505) 855-5525
(505) 884-4006
Mailing address
300 OAK ST NE, ALBUQUERQUE, NM 87106-4725
(505) 855-5525
(505) 884-4006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R21445
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202015257
PRESBYTERIAN HEALTH
NM
05
—
A5384
—
NM
01
—
NM006F55
BCBS OF NM
NM
Enumeration date
01/19/2007
Last updated
12/15/2016
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