Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 99-146 | NM |
NPI | 1740299379 |
---|---|
Provider Name | Dr. Nancy Guinn |
First Address | Albuquerque, NM 87110-7643 |
Second Address | Albuquerque, NM 87110-7643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 14/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201018562 | PRESBYTERIAN HEALTH PLAN (01) | NM |
G96685 | (02) | NM |
N0273 | (05) | NM |
NM009H60 | BLUE CROSS/BLUE SHIELD NM (01) | NM |