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NPI Code Detail

MEDICARE: ATRINEA HEALTH LLC

MEDICARE: ATRINEA HEALTH LLC
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
1207Q00000XFamily Medicine PhysicianNM

General Provider Information

NPI Number : 1437585460
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATRINEA HEALTH LLC
Provider Business Mailing Address
First Line : 7601 JEFFERSON ST NE
Second Line : SUITE 340
City : ALBUQUERQUE
State : NM
Zip : 87109-4494
Country : US
Telephone Number : 505-338-3851
Fax Number : 505-338-3859
Provider Business Practice Location Address
First Line : 3428 STATE HIGHWAY 47
Second Line : SUITE C
City : LOS LUNAS
State : NM
Zip : 87031-8271
Country : US
Telephone Number : 505-565-2817
Fax Number : 505-565-2411
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : MRS. GLENDA M KAPLAN
Credential :
Telephone Number : 505-944-9414
Provider Enumeration Date : 09/23/2013
Last Update Date : 09/23/2013

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