MEDICARE: PATIENCE MISNER

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1891655890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATIENCE MISNER

Provider Business Mailing Address
First Line	:	2903 ARNO ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-1501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2903 ARNO ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-1501
Country	:	US
Telephone Number	:	505-692-7049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	12/15/2025

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Directions to “ PATIENCE MISNER ” Practice Location

Language	Start Address	Practice Location

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