Basic Information
| Provider Information | |||||||||
| NPI: | 1831367382 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REDONDO CLADERA | ||||||||
| FirstName: | MARIA TERESA | ||||||||
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| Credential: | CFNP/CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1403 MONTEREY PL | ||||||||
| Address2: | |||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 875053864 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052311581 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1691 GALISTEO ST STE D | ||||||||
| Address2: | |||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 875054781 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059541921 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2008 | ||||||||
| LastUpdateDate: | 08/09/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | R45930 | NM | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 367A00000X | 573 | NM | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.