NANULIA NPI 1982825667

NPI Information

  • NPI: 1982825667
  • Provider Name: NANULIA
  • Classification: Clinic/Center - 261QX0100X
  • Specialization: Occupational Medicine
  • Entity Type: Organization
  • Doing Business As: PASSPORT HEALTH NEW MEXICO
  • CLIA Number: 32D2206344
  • Address: 1717 LOUISIANA BLVD NE
    SUITE 212
    ALBUQUERQUE, NM
    ZIP 87110
  • Phone: (505) 881-8785

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NPI Details

NANULIA is an occupational medicine clinic center in Albuquerque, NM. NANULIA NPI is 1982825667. The provider is registered as an organization entity type.
The provider Is Doing Business As Passport Health New Mexico.

The provider's business location address is:

1717 LOUISIANA BLVD NE
SUITE 212
ALBUQUERQUE, NM
ZIP 87110-001
Phone: (505) 881-8785
Fax: (505) 872-8785

The provider's authorized official is Nanci Baldwin .
The authorized official title is Co-owner and has the following contact phone number (505) 881-8785.

The CLIA number assigned to this NPI record is 32D2206344 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 9/23/2010.

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
1261QX0100XClinic/CenterOccupational Medicine03-035189-008NEW MEXICOYes

What is NPI?

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This page was last updated on: 3/30/2025

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