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

MS. TANA ELIZABETH BEVERWYK-ABOUDA, CPT, EIM

Active Sole Proprietor

MS. TANA ELIZABETH BEVERWYK-ABOUDA, CPT, EIM is a Athletic Trainer healthcare provider located in ESPANOLA, New Mexico. NPI 1770170219 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ESPANOLA, NM

Registration Details

NPI Number
1770170219
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2020 (5.5910640321192 yrs)
Last Updated
Dec 30, 2020
License
798784 (NM)
Sole Proprietor
Yes

Practice Information

Address
628 N RIVERSIDE DR STE C
ESPANOLA, NM, 875322620
Browse NM providers · Browse ZIP 87532
Phone
5059278516
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ESPANOLA, NM

Name Credential NPI
MR. PETER WESLEY HITE ATC, LAT 1336488345
MISS MARIAH MAUREEN MARTINEZ 1619423902
CELINA VELASQUEZ 1780169938
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.