Search › New Mexico › 2255A2300X
Tana Beverwyk-Abouda, CPT, EIM
NPI 1770170219 · on the registry since 2020 · sole proprietor
Practice
- Address
- 628 N Riverside Dr Ste C
Espanola, NM 87532 - Phone
- (505) 927-8516
- Organisation at this address
- Espanola Pathways Shelter
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico