Tina Biberdorf, NP
Nurse Practitioner, Family in Farmington, NM. Individual provider (NPI-1).
NPI number1346910148
StatusActive
Last updated in NPPESSep 14, 2021
Details
- NPI
- 1346910148
- Entity type
- Individual (NPI-1)
- Name
- Tina Biberdorf
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2021
- Certification date
- Sep 14, 2021
- Last updated
- Sep 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 64160 | NM | Yes |
Practice location
4820 E Main StFarmington, NM 87402-8660
Phone 505-609-6495
Mailing address
4820 E Main StFarmington, NM 87402-8660
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