Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | R18393 | NM |
NPI | 1497997613 |
---|---|
Provider Name | Clarinda Nunez |
First Address | Albuquerque, NM 87106-3721 |
Second Address | Albuquerque, NM 87106-3721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2009 |
Last Update Date | 02/04/2009 |