Mr. Ralph Jonathan Klotzbaugh
Nurse Practitioner - Community Health
4808 Mcmahon Blvd Nw
Albuquerque
, New Mexico 87114-5010
Mr. Ralph Jonathan Klotzbaugh
Nurse Practitioner - Community Health
4808 Mcmahon Blvd Nw
Albuquerque
, New Mexico 87114-5010
(505) 272-2900
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Mr. Ralph Jonathan Klotzbaugh
- 4808 Mcmahon Blvd Nw
- Albuquerque, NM
- Zip : 87114-5010
- Phone : (505) 272-2900
Second Address
- Mr. Ralph Jonathan Klotzbaugh
- 4808 Mcmahon Blvd Nw
- Albuquerque, NM
- Zip : 87114-5010
- Phone : (505) 272-2900
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Is Mr. Ralph Jonathan Klotzbaugh a sole practitioner?
Is Mr. Ralph Jonathan Klotzbaugh accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 53674 | NM |
| N | 363LC1500X | Nurse Practitioner - Community Health | F320081 | NY |
National Provider Identifier
| NPI | 1043517717 |
|---|---|
| Provider Name | Mr. Ralph Jonathan Klotzbaugh |
| First Address | Albuquerque, NM 87114-5010 |
| Second Address | Albuquerque, NM 87114-5010 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2011 |
| Last Update Date | 13/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.