Provider Type Icon

JENNIFER M MIRABAL NPI 1245386648


NPI Information

NPI: 1245386648
Provider Name: JENNIFER M MIRABAL
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
4100 SARA RD SE
RR7 MAILSTOP 108
RIO RANCHO, NM
ZIP 87124
Phone: (505) 239-9644
Get Directions

Jennifer M Mirabal is a specialist in Rio Rancho, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jennifer M Mirabal NPI is 1245386648. 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:

4100 SARA RD SE
RR7 MAILSTOP 108
RIO RANCHO, NM
ZIP 87124-025
Phone: (505) 239-9644

The enumeration date for this NPI number is 1/26/2007 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist5462NEW MEXICOYes

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: 4/28/2024

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.