Healthcare Provider Details

I. General information

NPI: 1174451561
Provider Name (Legal Business Name): CALYN HOCKERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE FL 5
ALBUQUERQUE NM
87106-2719
US

IV. Provider business mailing address

9616 MORROW AVE NE
ALBUQUERQUE NM
87112-2952
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-3535
  • Fax:
Mailing address:
  • Phone: 505-272-3535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberSAH-2026-0015
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: