is a Family in Albuquerque, New Mexico. practices all healthcare services and medical treatments related to Family. The NPI Number for is 1467502591. The last update date is .
's current location address is 6500 Jefferson St Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058438758 and fax number 5058438759. The mailing address for is 6500 Jefferson St Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 6500 Jefferson St Ne, Albuquerque, New Mexico |
Phone Number | 5058438758 |
Fax Number | 5058438759 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1467502591 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 6500 Jefferson St Ne |
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City | Albuquerque |
State | New Mexico (NM) |
Post Code | 871093489 |
Phone Number | 5058438758 |
Fax Number | 5058438759 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | R34750 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
R34750 | NM | NURSING LICENSE # |
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