Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD2021-0810 | NM |
Y | 208600000X | Surgeon | MD2021-0810 | NM |
NPI | 1003246125 |
---|---|
Provider Name | Nadia Guardado |
First Address | Albuquerque, NM 87125-6666 |
Second Address | Albuquerque, NM 87106-4932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2013 |
Last Update Date | 04/10/2021 |