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Contact Information

THERESA A BUBENZER, FNP
3917 WEST RD STE A
LOS ALAMOS, NM87544-2292
 Phone: 505-661-8900
 Fax: 505-661-8916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for THERESA A BUBENZER · (Female)

NPI # 1811025703
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/01/2007
Last updated 09/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 71002349A
  • NM License # CNP-01998
  • NM License # RN-75785
  • IN Other 71002349A NP LICENSE
  • NM Other CNP-01998 STATE LICENSE
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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