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NPI Code Detail

MEDICARE: MRS. CHRISTINE LOUISE OBERG CNP

MEDICARE: MRS. CHRISTINE LOUISE OBERG CNP
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
1363LA2100XAcute Care Nurse PractitionerCNP 02174NM

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 : 1194061788
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE LOUISE OBERG CNP
Provider Business Mailing Address
First Line : 4333 PAN AMERICAN FWY NE STE C
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-6833
Country : US
Telephone Number : 505-600-2511
Fax Number : 505-300-4977
Provider Business Practice Location Address
First Line : 4333 PAN AMERICAN FWY NE STE C
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-6833
Country : US
Telephone Number : 505-600-2511
Fax Number : 505-300-4977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2012
Last Update Date : 09/27/2019

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