Individual
AVIS L STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3511 RIDGEWAY DR, LOS ALAMOS, NM 87544-2141
(509) 768-3826
Mailing address
3511 RIDGEWAY DR, LOS ALAMOS, NM 87544-2141
(509) 768-3826
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
201242809RN
OR
163WS0200X
School Registered Nurse
Primary
TL-02314
NM
163WX0003X
Inpatient Obstetric Registered Nurse
N-26310
ID
163WX0003X
Inpatient Obstetric Registered Nurse
RN00122648
WA
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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