Healthcare Provider Details

I. General information

NPI: 1891618799
Provider Name (Legal Business Name): EMILEE GRACE ARTIAGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CALLE DEL ESCUELA
BERNALILLO NM
87004-6096
US

IV. Provider business mailing address

5200 COPPER AVE NE
ALBUQUERQUE NM
87108-1473
US

V. Phone/Fax

Practice location:
  • Phone: 505-404-5555
  • Fax:
Mailing address:
  • Phone: 505-266-5557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSAH-2026-0185
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: