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NPI Code Detail

MEDICARE: PATRICIA M ENGLEMAN CFNP BSN MSN

MEDICARE: PATRICIA M ENGLEMAN CFNP BSN MSN
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
1363L00000XNurse PractitionerCNP00711NM

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2NMA101423OTHERNMMEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number : 1528159100
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA M ENGLEMAN CFNP BSN MSN
Provider Business Mailing Address
First Line : PO BOX 26028
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87125-6028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9101 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2405
Country : US
Telephone Number : 505-275-4288
Fax Number : 505-275-4203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 08/22/2024

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Directions to “ PATRICIA M ENGLEMAN CFNP BSN MSN” Practice Location

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