Clitepic Llc

NPI 1144529694 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1144529694
Enumeration Date 03/23/2011
Last Updated 01/25/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SOPHIA CHU SOPHIA
Position ACUTE CARE NURSE PRACTITIONER
Phone (505) 401-0810
Fax (505) 858-1467
Practice Location
700 HIGH ST NE
ALBUQUERQUE NM, 87102-2565, US
Phone (505) 401-0810
Fax (505) 858-1467
Business Location
12231 ACADEMY RD NE
#301-223
ALBUQUERQUE NM, 87111-7236, US
Phone (505) 792-6590
Fax (505) 858-1467
Toxanomy
Taxonomy Code 363LA2100X
License State New Mexico
License Number CNP00285
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According to our database, Clitepic Llc NPI is 1144529694, taxonomy code is 363LA2100X and license number is CNP00285, license state is located at New Mexico. Clitepic Llc physically located at 700 High St Ne, Albuquerque NM, 87102-2565. NPI Number 1033115704 has the healthcare provider type.

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1144529694 NPI number is provided on an as is basis without warranty of any kind. 1144529694 is maintained by the National Plan & Provider Enumeration System. The contents of Clitepic Llc are for informational purposes only.