Mary Guillen in Albuquerque - Nutrition, Renal

Mary Guillen - NPI 1063421725

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
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
Provider Enumeration Date 2006-08-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1501 San Pedro Dr Se
City Albuquerque
State New Mexico (NM)
Post Code 871085153
Phone Number 5052651711
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition, Renal
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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FAQs about Mary Guillen

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.

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