Individual
JODY PADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1000 N AVENUE M, PORTALES, NM 88130-5226
(575) 356-7060
Mailing address
1625 E AMAZON ST, PORTALES, NM 88130-9211
(575) 468-6516
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-70601
NM
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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