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General NPI Number Information
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NPI Number | 1780676700
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Entity Type | Individual
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Provider Name | ALICE SISNEROS CFNP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1630 RIO RANCHO BLVD SE STE 101
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City | RIO RANCHO
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State | NM
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Zip | 87124-1587
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Country | US
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Telephone | 505-395-5520
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Fax |
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Provider Business Mailing Address
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Address Line | 2907 CERRILLOS RD
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City | SANTA FE
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State | NM
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Zip | 87507-2310
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Country | US
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Telephone | 505-471-4661
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP00292
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License Number State | NM
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