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General NPI Number Information
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NPI Number | 1194140277
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Entity Type | Organization
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Legal Business Name | DUKE CITY HEALTHCARE
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Dates
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Enumeration Date | 02/25/2014
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 4411 MONTANO RD NW SUITE F
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-3235
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Country | US
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Telephone | 505-899-4414
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Fax | 505-898-2395
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Provider Business Mailing Address
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Address Line | 4411 MONTANO RD NW SUITE F
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-3235
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Country | US
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Telephone | 505-899-4414
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Fax | 505-898-2395
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Authorized Official
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Title or Position | CFNP/OWNER
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Name | MRS. KRISTI FURY
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Credential | CFNP
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Telephone | 505-899-4414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | CNP01240
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD2004-0125
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License Number State | NM
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