Healthcare Provider Details

I. General information

NPI: 1457824500
Provider Name (Legal Business Name): NATASHA TOGNONI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2019
Last Update Date: 01/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE
ALBUQUERQUE NM
87106-2719
US

IV. Provider business mailing address

16922 I 40 FRONTAGE RD E
ALBUQUERQUE NM
87123-3919
US

V. Phone/Fax

Practice location:
  • Phone: 505-277-1549
  • Fax:
Mailing address:
  • Phone: 505-353-0648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number3901
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: