Jamie F Edens in Albuquerque - Medical

Jamie F Edens - NPI 1508034588

Jamie F Edens is a Medical in Albuquerque, New Mexico. Jamie F Edens practices all healthcare services and medical treatments related to Medical. The NPI Number for Jamie F Edens is 1508034588. The last update date is 2014-07-10.

Jamie F Edens's current location address is 610 Broadway Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052423991 and fax number 5052438405. The mailing address for Jamie F Edens is 610 Broadway Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Jamie F Edens
Address 610 Broadway Blvd Ne, Albuquerque, New Mexico
Phone Number 5052423991
Fax Number 5052438405
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1508034588
Provider Enumeration Date 2008-02-13
Last Updated Date 2014-07-10

Provider Mailing Address Detail

Address 610 Broadway Blvd Ne
City Albuquerque
State New Mexico (NM)
Post Code 871022372
Phone Number 5052423991
Fax Number 5052438405

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA2009-0028
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
96972351 NM --

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FAQs about Jamie F Edens

What is the unique 10-digit identification code issued to Jamie F Edens by the Centers for Medicare & Medicaid Services?

The Jamie F Edens has been assigned the NPI (National Provider Identifier) 1508034588 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Jamie F Edens?

The Jamie F Edens is physically situated at 610 Broadway Blvd Ne, in the city of Albuquerque, state of NM, with the postal code 871022372.

What is the Jamie F Edens's area of specialization and corresponding taxonomy classification?

The Jamie F Edens's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508034588 to Jamie F Edens?

The Centers for Medicare & Medicaid Services originally issued the 1508034588 to Jamie F Edens on 2008-02-13.

As of what date was the information pertaining to Jamie F Edens, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jamie F Edens, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-10.

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