Healthcare Provider Details

I. General information

NPI: 1487289773
Provider Name (Legal Business Name): ACCESS ENDOCRINOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2020
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SUN AVE NE STE 650
ALBUQUERQUE NM
87109-4670
US

IV. Provider business mailing address

529 MONTCLAIRE DR SE
ALBUQUERQUE NM
87108-3348
US

V. Phone/Fax

Practice location:
  • Phone: 505-835-6767
  • Fax: 505-545-6727
Mailing address:
  • Phone: 575-454-9271
  • Fax: 505-545-6727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: ANITA LEE SLOAN
Title or Position: PHYSICIAN ADMINISTRATOR
Credential: MD
Phone: 505-835-6767