Individual
REBECCA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., F.N.P.
Contact information
Practice address
6100 PAN AMERICAN FREEWAY NE STE 450, OBSTETRICS AND GYNECOLOGY, ALBUQUERQUE, NM 87109
(505) 823-8787
(505) 823-8788
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1054695
TX
363LF0000X
Family Nurse Practitioner
Primary
78352
NM
Other
Enumeration date
09/29/2021
Last updated
08/05/2024
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