Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. PROVIDENCE MUSOMANDERA BOTNE, R.N.
ActiveSubstance Abuse Psychiatric Nurse · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1326029240
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2005 (20.454312285419 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R53622 (NM)
Practice Information
- Address
-
2600 MARBLEALBUQUERQUE, NM, 871510001Browse NM providers · Browse ZIP 87151
- Phone
- 5058398839
- Fax
- 5058398989
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
Other Substance Abuse Psychiatric Nurse Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MRS. ANDREA YVONNE SUTPHIN | R. N. | 1538140330 |
| ANNETTE J LICHT | RN | 1487636973 |
| MR. ROBERT OTTO KRAMMER | RN | 1780663534 |
| MS. DONNA M ROBERTSON | RN | 1144294422 |
| CATHY GRACE DAHLSTEDT | RN,C/ LPCC | 1285697961 |
| MARK GANAS | RNCS | 1205892940 |
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.