360carexllc
Nurse Practitioner, Gerontology in Albuquerque, NM. Organization (NPI-2).
NPI number1366277063
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1366277063
- Entity type
- Organization (NPI-2)
- Legal business name
- 360carexllc
- Organization subpart
- No
- Enumeration date
- Sep 4, 2024
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | – | – | Yes |
Practice location
11000 Candelaria Rd Ne Ste 109eAlbuquerque, NM 87112-1700
Phone 505-527-0475
Mailing address
11000 Candelaria Rd NeAlbuquerque, NM 87112-1751
Phone 505-527-0475
Authorized official
Bethel Ubochi
Owner, NP
9208508549
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