Healthcare Provider Details

I. General information

NPI: 1225566482
Provider Name (Legal Business Name): FRANCINE JOY ADAIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11005 SPAIN RD NE STE 5
ALBUQUERQUE NM
87111-1871
US

IV. Provider business mailing address

11005 SPAIN RD NE
ALBUQUERQUE NM
87111-1899
US

V. Phone/Fax

Practice location:
  • Phone: 505-226-0104
  • Fax:
Mailing address:
  • Phone: 505-226-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberM-11525
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: