Individual
TAWNYA J INGIMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6621 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 888-0443
(505) 888-1398
Mailing address
6621 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 888-0443
(505) 888-1398
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
R41588
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B9556
—
NM
Enumeration date
10/04/2006
Last updated
06/16/2022
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