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General NPI Number Information
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NPI Number | 1215665831
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Entity Type | Individual
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Provider Name | MAPOL OSIAS
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Gender | Female
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 3620 WYOMING BLVD NE STE 219
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3289
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Country | US
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Telephone | 505-717-1324
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Fax |
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Provider Business Mailing Address
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Address Line | 11916 HARRINGTON RD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-2464
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Country | US
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Telephone | 443-538-3848
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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