Healthcare Provider Details

I. General information

NPI: 1588131783
Provider Name (Legal Business Name): ALLANA CARTIER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 10/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 LA MADERA ST
SANTA FE NM
87501-2420
US

IV. Provider business mailing address

450 LA MADERA ST.
SANTA FE NM
87501
US

V. Phone/Fax

Practice location:
  • Phone: 505-467-4505
  • Fax: 505-820-3138
Mailing address:
  • Phone: 505-467-4505
  • Fax: 505-820-3138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN-72032
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: