Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY LOUISE BODEWES, PAC
ActivePhysician Assistant · FARMINGTON, NM
Registration Details
- NPI Number
- 1659476398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2006 (19.601353884405 yrs)
- Last Updated
- Nov 8, 2024
- Licenses
-
988 (WI)PA.005343 (CO)PA2021-0130 (NM)
Practice Information
- Address
-
630 W MAPLE STFARMINGTON, NM, 874016113Browse NM providers · Browse ZIP 87401
- Phone
- 5056096349
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FARMINGTON, NM
| Name | Credential | NPI |
|---|---|---|
| MS. MARY JANE GALLAHAN | PA-C | 1952308694 |
| WILLIAM YOUNG | PA-C | 1902884935 |
| LLOYD PERCELL | — | 1083682793 |
| NANCY RHIEN | PA-C | 1245208677 |
| KAARLO ALAKOSKI | PA-C | 1508897455 |
| JULIE SCHAEFER | PA-C | 1225050651 |
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.