BEATRIC E BALSAMO PA NPI 1871638403

NPI Information

Beatric E Balsamo, PA is a medical physician assistant in Taos, NM. Beatric E Balsamo, PA NPI is 1871638403. 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:

1399 WEIMER RD STE 200
NDCBU BOX 5775
TAOS, NM
ZIP 87571-349
Phone: (505) 758-2224
Fax: (505) 758-4903

The NPI 1871638403 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 2/21/2007 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:

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