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NPI Code Detail

MEDICARE: DEIRDRE QUINN ANDERSON

MEDICARE:   DEIRDRE QUINN ANDERSON
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
11041C0700XClinical Social WorkerI-4194NM

General Provider Information

NPI Number : 1750529855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEIRDRE QUINN ANDERSON
Provider Business Mailing Address
First Line : 4904 HILTON AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-1174
Country : US
Telephone Number : 505-235-8767
Fax Number :
Provider Business Practice Location Address
First Line : 920 CARDENAS DR NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-1720
Country : US
Telephone Number : 505-266-8168
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2009
Last Update Date : 06/22/2026

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Directions to “ DEIRDRE QUINN ANDERSON ” Practice Location

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