Healthcare Provider Details

I. General information

NPI: 1356145577
Provider Name (Legal Business Name): NATASHA ARIEF
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MSC10 5620 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
81731-0001
US

IV. Provider business mailing address

MSC10 5620 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
81731-0001
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-3160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRS2025-0244
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: