MEDICARE: MRS. KAREN SPIELBUSCH CFNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R18549	NM
2	363L00000X	Nurse Practitioner	CNP00269	NM

General Provider Information

NPI Number	:	1013903871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN SPIELBUSCH CFNP

Provider Business Mailing Address
First Line	:	7700 VENICE AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87122
Country	:	US
Telephone Number	:	505-828-1935
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 CONSTITUTION AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-7613
Country	:	US
Telephone Number	:	505-559-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	01/22/2018

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