JUDITH M VERGARA-BLAKE CNP NPI 1730169699

NPI Information

Judith M Vergara-blake, CNP is a women's health care and ambulatory registered nurse in Albuquerque, NM. Judith M Vergara-blake, CNP NPI is 1730169699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 WALTER ST SE
ALBUQUERQUE, NM
ZIP 87102-658
Phone: (505) 272-1393
Fax: (505) 272-2177

The NPI 1730169699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 5/14/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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