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NPI Code Detail

MEDICARE: CLARICE MAY CARLES CREGGER

MEDICARE:   CLARICE MAY CARLES CREGGER
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
1172V00000XCommunity Health WorkerNM

General Provider Information

NPI Number : 1629920335
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARICE MAY CARLES CREGGER
Provider Business Mailing Address
First Line : 300 CENTRAL AVE SW STE 1500
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-3298
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 CENTRAL AVE SW STE 1500
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-3298
Country : US
Telephone Number : 505-503-1125
Fax Number : 505-218-9307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ CLARICE MAY CARLES CREGGER ” Practice Location

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