Doctor Name: | RIBA CALLOWAY |
NPI Number: | 1013364314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R41959 |
Business Practice Address: | 505 S Main St Ste 249 Las Cruces, NM - 880011206 |
Business Phone Number: | 5755275884 |
Business Fax Number: | 5755275886 |
Mailing Address: | 505 S Main St, Ste 249 LAS CRUCES |
State: | NM |
Postal Code: | 880011206 |
Phone Number: | 5755275884 |
Fax Number: | 5755275886 |
NPI Enumeration Date: | 05/17/2016 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | R41959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |