Healthcare Provider Details

I. General information

NPI: 1407031495
Provider Name (Legal Business Name): DOROTHY ELLEN MCCURLEY AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

457 WASHINGTON ST SE STE D
ALBUQUERQUE NM
87108-2713
US

IV. Provider business mailing address

457 WASHINGTON ST SE STE D
ALBUQUERQUE NM
87108-2713
US

V. Phone/Fax

Practice location:
  • Phone: 505-243-8030
  • Fax: 505-212-4221
Mailing address:
  • Phone: 505-243-8030
  • Fax: 505-212-4221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number443
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: