MEDICARE: NUCLEAR WEAPONS ADVOCATES LLC.

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770305195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUCLEAR WEAPONS ADVOCATES LLC.

Provider Business Mailing Address
First Line	:	6121 INDIAN SCHOOL RD NE STE 240
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-4172
Country	:	US
Telephone Number	:	505-372-0000
Fax Number	:	844-692-2525

Provider Business Practice Location Address
First Line	:	6121 INDIAN SCHOOL RD NE STE 240
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-4172
Country	:	US
Telephone Number	:	833-463-6692
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF COMPLIANCE
Name	:	DEBBIE VALENCIA
Credential	:
Telephone Number	:	505-372-0000

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	06/24/2026

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