Healthcare Provider Details

I. General information

NPI: 1639097306
Provider Name (Legal Business Name): FERRIN LIMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3436 ISLETA BLVD SW
ALBUQUERQUE NM
87105-5837
US

IV. Provider business mailing address

3436 ISLETA BLVD SW
ALBUQUERQUE NM
87105-5837
US

V. Phone/Fax

Practice location:
  • Phone: 505-503-3831
  • Fax:
Mailing address:
  • Phone: 505-503-3831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number59763
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: