Individual
PATRICIA ROSENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1118 W AZTEC BLVD, AZTEC, NM 87410-1800
(505) 334-9474
Mailing address
1118 W AZTEC BLVD, AZTEC, NM 87410-1800
(505) 334-9474
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
RN-70813
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN-70813
NEW MEXICO BOARD OF NURSING
NM
Enumeration date
10/16/2018
Last updated
10/16/2018
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