Individual
DONNA BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 UPTOWN BLVD NE STE 360W, ALBUQUERQUE, NM 87110-4295
(505) 855-9817
Mailing address
6400 UPTOWN BLVD NE STE 360W, ALBUQUERQUE, NM 87110-4295
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R23574
NM
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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