Individual
DEBORAH PRAIR BEREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9388 VALLEY VIEW DR NW STE 300, ALBUQUERQUE, NM 87114-4908
(505) 338-3702
Mailing address
5033 AGUA FRIA PARK RD, SANTA FE, NM 87507-3424
(505) 699-7323
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
R48866
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-03512
NM
Other
Enumeration date
02/19/2018
Last updated
12/10/2021
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