Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD2021-0776 | NM |
N | 207VG0400X | Gynecologist | A153145 | CA |
NPI | 1710306899 |
---|---|
Provider Name | Sarah Elizabeth Steele Jeney |
First Address | Albuquerque, NM 87108-5153 |
Second Address | Albuquerque, NM 87108-5153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2014 |
Last Update Date | 01/09/2021 |