Individual
ROSALIND MONICA DEGEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 SANDOVAL RD SW, LOS LUNAS, NM 87031-7320
(505) 565-4355
(505) 565-4360
Mailing address
111 SANDOVAL RD SW, LOS LUNAS, NM 87031-7320
(505) 565-4355
(505) 565-4360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2005-0054
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202010875
PRESBYTERIAN HEALTH PLAN
NM
05
—
49050231
—
NM
01
—
P00340493
RAILROAD MEDICARE
NM
Enumeration date
08/04/2006
Last updated
09/28/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us