Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | CNP00473 | NM |
N | 363LA2100X | Nurse Practitioner - Acute Care | R25455 | NM |
NPI | 1033242292 |
---|---|
Provider Name | Ms. George Marie Dresden |
First Address | Albuquerque, NM 87102-2565 |
Second Address | Albuquerque, NM 87109-6748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 19/08/2013 |