Vascular Access Nm LLC
Nurse Practitioner, Gerontology in Albuquerque, NM. Organization (NPI-2).
NPI number1255035705
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1255035705
- Entity type
- Organization (NPI-2)
- Legal business name
- Vascular Access Nm LLC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2023
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | – | – | Yes |
Practice location
700 High St NeAlbuquerque, NM 87102-2565
Phone 505-908-5192
Mailing address
6126 Cottontail Rd NeRio Rancho, NM 87144-1542
Phone 505-908-5192
Authorized official
Sandra P Gutierrez
Owner
5059085192
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