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NPI Code Detail

MEDICARE: MERIBETH HAUENSTEIN APRN,CS

MEDICARE:   MERIBETH  HAUENSTEIN  APRN,CS
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR24758NM
2364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistCNS00081NM

Other Identifiers

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

General Provider Information

NPI Number : 1083643860
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERIBETH HAUENSTEIN APRN,CS
Provider Business Mailing Address
First Line : 1401 S DON ROSER DR
Second Line : SUITE A
City : LAS CRUCES
State : NM
Zip : 88011-4567
Country : US
Telephone Number : 575-521-4848
Fax Number : 575-522-1798
Provider Business Practice Location Address
First Line : 1170 N SOLANO DR
Second Line : SUITE A
City : LAS CRUCES
State : NM
Zip : 88001-2371
Country : US
Telephone Number : 505-522-4977
Fax Number : 505-528-5039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 11/05/2014

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