Healthcare Provider Details

I. General information

NPI: 1861703407
Provider Name (Legal Business Name): MRS. NATALIE ANN HESS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. NATALIE ANN JARAMILLO

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 SAN PEDRO DR NE STE 100
ALBUQUERQUE NM
87110-4133
US

IV. Provider business mailing address

601 MENAUL BLVD NE UNIT 1806
ALBUQUERQUE NM
87107-1577
US

V. Phone/Fax

Practice location:
  • Phone: 505-450-5475
  • Fax:
Mailing address:
  • Phone: 505-450-5475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC-08952
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: