Abbie L Laursen, MD
Individual provider Active NPI Internal Medicine Physician · Cimarron, NM
NPI 1639294424 · NPPES record last updated Nov 20, 2019
Key facts
- NPI
- 1639294424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 20020324 (NM)
- Practice address
- 9TH and Washington BLDG 356 C
Cimarron Health Care Clinic
Cimarron, NM 87714 - Phone
- (505) 376-2402
- Fax
- (505) 376-2107
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20020324 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Colfax County Special Hospital District | Past |
Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20020324 | NM | Yes |
Addresses
Primary practice location
9TH and Washington BLDG 356 C
Cimarron Health Care Clinic
Cimarron, NM 87714
Mailing address
PO Box 158
Espanola, NM 87532-0158
Phone (505) 753-7218
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47857561 | Medicaid | NM |
Other providers in Cimarron, NM
- Loretta Lucy Brazil
- Cimarron Home Health
- Adrian Esquivel
- Alison Gagnon
- Henry K Hillman
- Presbyterian Healthcare Services
- Melissa Smith
- South Central Colfax County Hospital District
- Sunrise Clinics
- Kathleen Anne Veit
All providers in Cimarron, NM · Internal Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.