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Contact Information

SUSAN CONSTANCE, RN
500 NORTH MUNDO
DULCE, NM87528-0269
 Phone: 505-759-3291
 Fax: 505-759-7294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Care

163WP2201X
Indicates primary specialty

NPI Profile & details for SUSAN CONSTANCE · (Female)

NPI Number 1467476440
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/26/2006
Last updated 09/20/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 126420
  • NM Medicaid 000K3526
  • NM Other HSZ196 MEDICARE PART B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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