Healthcare Provider Details

I. General information

NPI: 1366356131
Provider Name (Legal Business Name): DR. DINNAH SARANGE MAKORI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9910 INDIAN SCHOOL RD NE STE 201
ALBUQUERQUE NM
87112-2957
US

IV. Provider business mailing address

9910 INDIAN SCHOOL RD NE STE 201
ALBUQUERQUE NM
87112-2957
US

V. Phone/Fax

Practice location:
  • Phone: 505-658-6255
  • Fax: 469-630-8855
Mailing address:
  • Phone: 505-658-6255
  • Fax: 469-630-8855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number91271
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: