MS. PROVIDENCE MUSOMANDERA BOTNE R.N. NPI 1326029240

NPI Information

NPI: 1326029240
Provider Name: MS. PROVIDENCE MUSOMANDERA BOTNE, R.N.
Classification: Registered Nurse - 163WP0809X
Specialization: Psychiatric/Mental Health, Adult
Entity Type: Individual
Address: 2600 MARBLE
ALBUQUERQUE, NM
ZIP 87151
Phone: (505) 839-8839

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NPI Details

MS. Providence Musomandera Botne, R.N. is a psychiatric/mental health and adult registered nurse in Albuquerque, NM. MS. Providence Musomandera Botne, R.N. NPI is 1326029240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2600 MARBLE
ALBUQUERQUE, NM
ZIP 87151-001
Phone: (505) 839-8839
Fax: (505) 839-8989

The enumeration date for this NPI number is 11/8/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	R53622	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R53622	OTHER	NEW MEXICO	R.N.LICENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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