Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE LOUISE BAWDEN CNS (NURSE MANAGER)
(505) 265-1711
Entity
Organization
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
6 APPLEWOOD LN NW, ALBUQUERQUE, NM 87107-6404
(505) 898-2543
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R24940
NM
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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