Healthcare Provider Details

I. General information

NPI: 1255363933
Provider Name (Legal Business Name): RACHEL TANSEY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 02/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 JOURNAL CENTER BLVD NE URGENT CARE
ALBUQUERQUE NM
87109-5900
US

IV. Provider business mailing address

5150 JOURNAL CENTER BLVD NE URGENT CARE
ALBUQUERQUE NM
87109-5900
US

V. Phone/Fax

Practice location:
  • Phone: 505-262-3233
  • Fax: 505-262-3191
Mailing address:
  • Phone: 505-262-3233
  • Fax: 505-262-3191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704220597
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR58552
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: