Ryan Lutheran
Peer Specialist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1053108035
StatusActive
Last updated in NPPESMay 15, 2025
Details
- NPI
- 1053108035
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Lutheran
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2025
- Certification date
- May 15, 2025
- Last updated
- May 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | NM | Yes |
Practice location
2600 Marble Ave NeAlbuquerque, NM 87106-2058
Phone 505-305-8236
Mailing address
2600 Marble Ave NeAlbuquerque, NM 87106-2058
Phone 505-305-8236
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All 316 Peer Specialist providers in Albuquerque · All 29,333 providers in Albuquerque
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