Individual
RUTH G DE REGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC06 3870, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-2020
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC06 3870, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-2020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R40325
NM
363LA2200X
Adult Health Nurse Practitioner
R40325
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R7546
—
NM
Enumeration date
11/03/2005
Last updated
05/16/2016
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