Individual
PAULINE TITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2211 LOMAS BLVD NE, UNMH - DEPT. OF OFFSITE AMBULATORY PROVIDERS, ALBUQUERQUE, NM 87106
(505) 504-4622
Mailing address
2211 LOMAS BLVD NE, UNMH - DEPT. OF OFFSITE AMBULATORY PROVIDERS, ALBUQUERQUE, NM 87106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-01934
NM
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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