Provider Demographics
NPI:1992043186
Name:BUDZINSKI, EVA LYNNE (MSN, NNP-BC, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:EVA LYNNE
Middle Name:
Last Name:BUDZINSKI
Suffix:
Gender:F
Credentials:MSN, NNP-BC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 893
Mailing Address - Street 2:15 EAST SPUR ROAD
Mailing Address - City:CLOUDCROFT
Mailing Address - State:NM
Mailing Address - Zip Code:88317
Mailing Address - Country:US
Mailing Address - Phone:575-687-2075
Mailing Address - Fax:
Practice Address - Street 1:15 EAST SPUR ROAD
Practice Address - Street 2:
Practice Address - City:CLOUDCROFT
Practice Address - State:NM
Practice Address - Zip Code:88317
Practice Address - Country:US
Practice Address - Phone:575-687-2075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR26330363LF0000X, 363LN0000X, 364SN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SN0000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistNeonatal