AUSTIN LYN MOEDE MD NPI 1467673657

NPI Information

NPI: 1467673657
Provider Name: AUSTIN LYN MOEDE, MD
Classification: Clinic/Center - 261QR0800X
Entity Type: Individual

Specialization: Recovery Care

Address:
1414 NARCISCO ST NE
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 293-3767
Get Directions

Austin Lyn Moede, MD is a recovery care clinic center in Albuquerque, NM. Austin Lyn Moede, MD NPI is 1467673657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1414 NARCISCO ST NE
ALBUQUERQUE, NM
ZIP 87112-536
Phone: (505) 293-3767
Fax: (505) 293-1969

The enumeration date for this NPI number is 5/2/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0800X	Clinic/Center	Recovery Care	96-105	NEW MEXICO	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: 4/28/2024

NPI Synchronization or Removal

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