Individual
MS. DEBORAH RUDENE CASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
465 SAINT MICHAELS DR, SUITE 110, SANTA FE, NM 87505-7670
(505) 946-3180
(505) 946-3181
Mailing address
465 SAINT MICHAELS DR, SUITE 110, SANTA FE, NM 87505-7670
(505) 946-3180
(505) 946-3181
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
NP8903
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP 01770
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN323413
—
CA
Enumeration date
11/22/2005
Last updated
04/12/2011
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