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Individual

EMILY CONWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LMT, NTS

Contact information

Practice address
1127 LA LUZ DR NW, ALBUQUERQUE, NM 87107-3548
(505) 600-2497
Mailing address
1127 LA LUZ DR NW, ALBUQUERQUE, NM 87107-3548
(505) 600-2497

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
68430
NM
163WM1400X
Nurse Massage Therapist (NMT)
Primary
68430-MT7009
NM
225700000X
Massage Therapist
MT7009
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68430
NEW MEXICO BOARD OF NURSING
NM
01
MT7009
NM MASSAGE THERAPY BOARD
NM
Enumeration date
04/28/2014
Last updated
12/20/2023
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