NPI 1023102415 · live from the CMS NPI Registry
Karen G Connaughton, MD
Emergency Medicine in Espanola, NM. National Provider Identifier 1023102415, active.
NPI record
| NPI | 1023102415 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 |
| Practice phone | 505-753-7111 |
| Mailing address | Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125 |
| Enumerated | October 3, 2006 |
| Last updated | July 15, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 20030408 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.