MEDICARE: GINNETTE P WEINER LISW

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	104100000X	Social Worker	I-05935	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033120357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINNETTE P WEINER LISW

Provider Business Mailing Address
First Line	:	3885 FOOTHILLS RD STE B
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4672
Country	:	US
Telephone Number	:	505-521-3388
Fax Number	:	505-521-4023

Provider Business Practice Location Address
First Line	:	3885 FOOTHILLS RD STE B
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4672
Country	:	US
Telephone Number	:	505-521-3388
Fax Number	:	505-521-4023

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1528029980 — DR. LEONEL G. RODARTE M.D.
Practice Location Address:

3885 FOOTHILLS RD , SUITE B
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1700896784 — STEINMANN ENTERPRISES INC.
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1104011444 — DR. CHIBUZO ONYEZE UKAEGBU MD, MPH
Practice Location Address:

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1841470135 — GABRIEL A HERNANDEZ
Practice Location Address:

3885 FOOTHILLS RD STE B
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1780959692 — MR. ROBERT D STEINMANN CPO
Practice Location Address:

3885 FOOTHILLS RD , STE. 1
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1164780441 — ELISSA MARIE BARFOOT CNM, FNP
Practice Location Address:

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Directions to “ GINNETTE P WEINER LISW” Practice Location

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