VIBRANCY VIP MEDCLINIC LLC NPI 1184351926

NPI Information

NPI: 1184351926
Provider Name: VIBRANCY VIP MEDCLINIC LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
4801 ALAMEDA BLVD NE STE A
ALBUQUERQUE, NM
ZIP 87113
Phone: (505) 309-3496
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VIBRANCY VIP MEDCLINIC LLC is a medical physician assistant in Albuquerque, NM. VIBRANCY VIP MEDCLINIC LLC NPI is 1184351926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4801 ALAMEDA BLVD NE STE A
ALBUQUERQUE, NM
ZIP 87113-532
Phone: (505) 309-3496
Fax: (505) 441-2736

The provider's authorized official is Sonja Mailman .
The authorized official title is Clinic Manager and has the following contact phone number (505) 309-3496.

The enumeration date for this NPI number is 8/2/2022 and was last updated on 8/2/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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