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Contact Information

NICHOLAS F ROCKEFELLER
6100 PAN AMERICAN FREEWAY NE
STE 450
ALBUQUERQUE, NM87109-3460
 Phone: 505-823-8787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NICHOLAS F ROCKEFELLER · (Male)

NPI # 1699185660
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2014
Last updated 09/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2014020090
  • NM License # MD2021-0817
  • NM License # RS2018-0404
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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