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Contact Information

NM VA HEALTH CARE SYSTEM
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM87108-5153
 Phone: 505-265-1711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

VA

261QV0200X
Indicates primary specialty

NPI Profile & details for NM VA HEALTH CARE SYSTEM · (Female)

NPI # 1790532307
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2024
Last updated 05/01/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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