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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KATHLYN MARIE EYDENBERG, RN, MSN, CPNP

Active Sole Proprietor

MRS. KATHLYN MARIE EYDENBERG, RN, MSN, CPNP is a Pediatric Nurse Practitioner healthcare provider located in MESCALERO, New Mexico. NPI 1134284730 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · MESCALERO, NM

Registration Details

NPI Number
1134284730
Provider Type
Individual
Gender
Female
NPI Issued
Dec 26, 2006 (19.446223579406 yrs)
Last Updated
Jul 8, 2007
License
R45087 (NM)
Sole Proprietor
Yes

Practice Information

Address
MESCALERO PHS INDIAN HOSPITAL
MESCALERO, NM, 88340
Browse NM providers · Browse ZIP 88340
Phone
5054644441
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.