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NPI Code Detail

MEDICARE: MADELINE JARAMILLO CNP

MEDICARE: MADELINE JARAMILLO CNP
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
1363LF0000XFamily Nurse PractitionerCNP 02463NM

General Provider Information

NPI Number : 1609275601
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE JARAMILLO CNP
Provider Business Mailing Address
First Line : 2832 ARIZONA ST NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-3302
Country : US
Telephone Number : 505-710-3853
Fax Number :
Provider Business Practice Location Address
First Line : 2211 LOMAS BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-2719
Country : US
Telephone Number : 505-272-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2014
Last Update Date : 06/08/2023

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Directions to “ MADELINE JARAMILLO CNP” Practice Location

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