Individual
RENEE WYBENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SUN AVE NE STE 650, ALBUQUERQUE, NM 87109-4670
(505) 260-4300
Mailing address
100 SUN AVE NE STE 650, ALBUQUERQUE, NM 87109-4670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-167300
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
68666
NM
Other
Enumeration date
06/26/2021
Last updated
08/13/2022
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