Healthcare Provider Details

I. General information

NPI: 1629919527
Provider Name (Legal Business Name): ERIN BRITTANY REIMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5414 AVENIDA CUESTA NE
ALBUQUERQUE NM
87111-6719
US

IV. Provider business mailing address

5414 AVENIDA CUESTA NE
ALBUQUERQUE NM
87111-6719
US

V. Phone/Fax

Practice location:
  • Phone: 505-515-7860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number53162
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: