NPI 1063063212

John Severn

Practitioner Attendant Care Provider Albuquerque, NM

Practice location

Address: 1501 San Pedro Dr SE, Albuquerque, NM 87108
Phone: (505) 265-1711

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1063063212
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2019
Record last updated: 27 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.