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NM SPIRIT OF WELLNESS LLC NPI 1982163267


NPI Information

NPI: 1982163267
Provider Name: NM SPIRIT OF WELLNESS LLC

Doing Business As: NM SPIRIT OF WELLNESS LC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
123 GIRARD BLVD SE
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 264-9454
Get Directions

NM SPIRIT OF WELLNESS LLC is a family medicine in Albuquerque, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NM SPIRIT OF WELLNESS LLC NPI is 1982163267. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nm Spirit Of Wellness Lc.

The provider's business location address is:

123 GIRARD BLVD SE
ALBUQUERQUE, NM
ZIP 87106-227
Phone: (505) 264-9454
Fax: (505) 557-1941

The provider's authorized official is Jeannett Martinez .
The authorized official title is Ceo and has the following contact phone number (505) 264-9454.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 10/20/2019.


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
1207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
114350673MEDICAIDNEW MEXICO

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

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