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Contact Information

BERNADETTE PORTILLO, MSN, RN
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM87108-5153
 Phone: 505-265-1711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Infusion Therapy

163WI0500X
Indicates primary specialty

NPI Profile & details for BERNADETTE PORTILLO · (Female)

NPI # 1689097891
Status Active
Credentials MSN, RN
Entity Individual
Enumeration date 01/23/2014
Last updated 03/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NM License # R63706
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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