Integrated Family Wellness Center, Llc

NPI 1184904054 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1184904054
Enumeration Date 08/24/2011
Last Updated 08/24/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PHILOMENA E PHILOMENA
Position OWNER
Phone (505) 293-1658
Fax (505) 298-4737
Practice Location
8300 SAN PEDRO DR NE
ALBUQUERQUE NM, 87113-1703, US
Phone (505) 293-1658
Fax (505) 298-4737
Business Location
8300 SAN PEDRO DR NE
ALBUQUERQUE NM, 87113-1703, US
Phone (505) 293-1658
Fax (505) 298-4737
Toxanomy
Taxonomy Code 363LF0000X
License State New Mexico
License Number R25188
Remove 1184904054 NPI Number
 

According to our database, Integrated Family Wellness Center, Llc NPI is 1184904054, taxonomy code is 363LF0000X and license number is R25188, license state is located at New Mexico. Integrated Family Wellness Center, Llc physically located at 8300 San Pedro Dr Ne, Albuquerque NM, 87113-1703. NPI Number 1033115704 has the healthcare provider type.

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1184904054 NPI number is provided on an as is basis without warranty of any kind. 1184904054 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Family Wellness Center, Llc are for informational purposes only.