INTEGRATED HEALTHCARE NPI 1659800894

NPI Information

INTEGRATED HEALTHCARE is a psychiatric/mental health nurse practitioner in Rio Rancho, NM. INTEGRATED HEALTHCARE NPI is 1659800894. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4101 BARBARA LOOP SE STE C
RIO RANCHO, NM
ZIP 87124-011
Phone: (505) 994-4503
Fax: (505) 891-1495

The provider's authorized official is Jacqueline Eva Willis .
The authorized official title is Owner and has the following contact phone number (505) 994-4503.

The CLIA number assigned to this NPI record is 32D2139093 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2017 and was last updated on 6/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.