Individual
EVA DENNIE FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
11316 BISCAYNE DR NE, ALBUQUERQUE, NM 87111-2612
(303) 704-1874
Mailing address
11316 BISCAYNE DR NE, ALBUQUERQUE, NM 87111-2612
(303) 704-1874
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R32762
NM
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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