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NPI Profile for KATHLYN M EYDENBERG in MESCALERO, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI Number | 1134284730 |
|
| Status | Active | |
| Credentials | RN, MSN, CPNP | |
| Entity | Individual | |
| Enumeration date | 12/26/2006 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KATHLYN M EYDENBERG
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KATHLYN M EYDENBERG, RN, MSN, CPNP