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Individual

GRETCHEN MUELLER-REUBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
5901 HARPER DR NE, ALBUQUERQUE, NM 87109-3587
(505) 823-8888
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP00865
NM
363LF0000X
Family Nurse Practitioner
R39438
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47501227
NM
Enumeration date
12/13/2005
Last updated
10/30/2017
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