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NPI Code Detail

MEDICARE: NEW MEXICO HEALTH CARE CLINICIANS INC.

MEDICARE: NEW MEXICO HEALTH CARE CLINICIANS INC.
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
1364SF0001XFamily Health Clinical Nurse SpecialistRN 14825NM

General Provider Information

NPI Number : 1659805505
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW MEXICO HEALTH CARE CLINICIANS INC.
Provider Business Mailing Address
First Line : 3911 4TH ST NW
Second Line : SUITE A
City : ALBUQUERQUE
State : NM
Zip : 87107-2510
Country : US
Telephone Number : 505-480-0375
Fax Number :
Provider Business Practice Location Address
First Line : 3911 4TH ST NW
Second Line : SUITE A
City : ALBUQUERQUE
State : NM
Zip : 87107-2510
Country : US
Telephone Number : 505-480-0375
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : AUTUMN L PIERCE
Credential :
Telephone Number : 505-480-0375
Provider Enumeration Date : 04/18/2017
Last Update Date : 04/18/2017

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Directions to “NEW MEXICO HEALTH CARE CLINICIANS INC. ” Practice Location

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