Healthcare Provider Details

I. General information

NPI: 1881572626
Provider Name (Legal Business Name): ASMAA HUSSEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 CAMINO DE SALUD NE SUITE 1200
ALBUQUERQUE NM
87102-4516
US

IV. Provider business mailing address

3901 INDIAN SCHOOL RD NE APT B401
ALBUQUERQUE NM
87110-3891
US

V. Phone/Fax

Practice location:
  • Phone: 505-925-4031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberDB20250157
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: