Mary Guillen is a Nutrition, Renal in Albuquerque, New Mexico. Mary Guillen practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Mary Guillen is 1063421725. The last update date is 2007-07-08.
Mary Guillen's current location address is 1501 San Pedro Dr Se, Albuquerque, New Mexico. You can contact this provider via phone number 5052651711. The mailing address for Mary Guillen is 1501 San Pedro Dr Se, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Guillen |
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Address | 1501 San Pedro Dr Se, Albuquerque, New Mexico |
Phone Number | 5052651711 |
Fax Number | |
Sole Proprietor | Y |
Credentials | R.D. |
NPI Number Detail
NPI Number | 1063421725 |
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Provider Enumeration Date | 2006-08-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1501 San Pedro Dr Se |
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City | Albuquerque |
State | New Mexico (NM) |
Post Code | 871085153 |
Phone Number | 5052651711 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nutrition, Renal |
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Taxonomy | 133Vn1005X |
Licence No | 379 |
Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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What is the unique identifier code issued to Mary Guillen by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Guillen has been assigned the NPI (National Provider Identifier) 1063421725. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mary Guillen?
The Mary Guillen is physically situated at 1501 San Pedro Dr Se, in the city of Albuquerque, state of NM, with the postal code 871085153.
What is Mary Guillen's area of expertise and its corresponding taxonomy classification?
The Mary Guillen's field of specialization is Nutrition, Renal, and it falls under the taxonomy code 133Vn1005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1063421725 to Mary Guillen?
The Centers for Medicare & Medicaid Services assigned the 1063421725 to Mary Guillen on 2006-08-05.
As of what date were the Mary Guillen's details last updated?
The information pertaining to the Mary Guillen, including its address, specialty, and other details, was most recently updated on 2007-07-08.