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NPI Code Detail

MEDICARE: SANDRA NAIGLE

MEDICARE: SANDRA NAIGLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerM-08352NM
21041C0700XClinical Social WorkerC-09574NM

General Provider Information

NPI Number : 1114274362
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA NAIGLE
Provider Business Mailing Address
First Line : 2600 MARBLE AVE NE
Second Line : BLDG 2
City : ALBUQUERQUE
State : NM
Zip : 87131
Country : US
Telephone Number : 505-917-7982
Fax Number :
Provider Business Practice Location Address
First Line : 2600 MARBLE AVE NE
Second Line : BLDG 2
City : ALBUQUERQUE
State : NM
Zip : 87106-2058
Country : US
Telephone Number : 505-917-7982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2012
Last Update Date : 07/19/2023

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Directions to “ SANDRA NAIGLE ” Practice Location

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