Individual
DAVITA MAWULAWDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87102-4517
(505) 272-4946
Mailing address
933 BRADBURY DR SE, STE. 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-1320
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP-02621
NM
363LA2100X
Acute Care Nurse Practitioner
COA.13940-NP
OH
Other
Enumeration date
01/07/2013
Last updated
03/22/2017
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