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NPI Code Detail

MEDICARE: MS. AMY SARA MILLARD PEER SPECIALIST

MEDICARE: MS. AMY SARA MILLARD PEER SPECIALIST
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
1101Y00000XCounselor

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 : 1740514553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY SARA MILLARD PEER SPECIALIST
Provider Business Mailing Address
First Line : 700 2ND ST NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-1578
Country : US
Telephone Number : 505-884-4464
Fax Number : 505-884-0093
Provider Business Practice Location Address
First Line : 700 2ND ST NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-1578
Country : US
Telephone Number : 505-884-4464
Fax Number : 505-884-0093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2009
Last Update Date : 01/29/2016

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