Individual
DEBORAH D WERENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1421 LUISA ST STE A, SANTA FE, NM 87505-4073
(505) 820-1482
(505) 982-0696
Mailing address
1421 LUISA ST STE A, SANTA FE, NM 87505-4073
(505) 820-1482
(505) 982-0696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000-310
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F7765
—
NM
Enumeration date
03/09/2006
Last updated
03/10/2021
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