Healthcare Provider Details

I. General information

NPI: 1497788285
Provider Name (Legal Business Name): JOANNE MILISA DRAUTZ MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOANNE M MILISA MS

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 05/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNM DEPT PEDIATRICS GENETICS MSC10 5590 1 UNM
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

933 BRADBURY DR SE STE 2222
ALBUQUERQUE NM
87106-4374
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-0340
  • Fax: 505-272-6823
Mailing address:
  • Phone: 505-272-3120
  • Fax: 505-272-8060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: