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NPI Code Detail

MEDICARE: VACCINES FOR HEALTH

MEDICARE: VACCINES FOR HEALTH
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
12083X0100XOccupational Medicine Physician89-142NM

General Provider Information

NPI Number : 1245639756
Entity Type Code : Organization
Provider Name (Legal Business Name) : VACCINES FOR HEALTH
Provider Business Mailing Address
First Line : 1717 LOUISIANA BLVD NE
Second Line : SUITE 212
City : ALBUQUERQUE
State : NM
Zip : 87110-7001
Country : US
Telephone Number : 505-881-8785
Fax Number :
Provider Business Practice Location Address
First Line : 1717 LOUISIANA BLVD NE
Second Line : SUITE 212
City : ALBUQUERQUE
State : NM
Zip : 87110-7001
Country : US
Telephone Number : 505-881-8785
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NANCI BALDWIN
Credential : RN
Telephone Number : 505-881-8785
Provider Enumeration Date : 08/20/2014
Last Update Date : 02/17/2015

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Directions to “VACCINES FOR HEALTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.