MEDICARE: DIANE BAPTISTA FNPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R38621	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144200700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE BAPTISTA FNPC

Provider Business Mailing Address
First Line	:	5209 OVERLOOK DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-5719
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7801 ACADEMY RD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-3379
Country	:	US
Telephone Number	:	505-272-2700
Fax Number	:	505-272-2760

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	10/04/2024

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Directions to “ DIANE BAPTISTA FNPC” Practice Location

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