Alicia Victoria Small CNP

NPI 1437429487 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1437429487
Gender Female
Enumeration Date 01/09/2012
Last Updated 01/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2211 LOMAS BLVD NE
ALBUQUERQUE NM, 87106-2745, US
Phone (505) 925-0379
Fax (505) 272-7799
Business Location
2211 LOMAS BLVD NE
ALBUQUERQUE NM, 87106-2745, US
Phone (505) 925-0379
Fax (505) 272-7799
Toxanomy
Taxonomy Code 363LA2100X
License State New Mexico
License Number CNP-01927
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According to our database, Ms. Alicia Victoria Small CNP NPI is 1437429487, taxonomy code is 363LA2100X and license number is CNP-01927, license state is located at New Mexico. Alicia Victoria Small CNP physically located at 2211 Lomas Blvd Ne, Albuquerque NM, 87106-2745. NPI Number Alicia Victoria Small CNP has the Individual type.

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1437429487 NPI number is provided on an as is basis without warranty of any kind. 1437429487 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Victoria Small CNP are for informational purposes only.