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Contact Information

FAITH O IGBERAESE
6701 JEFFERSON ST NE
ALBUQUERQUE, NM87109-4318
 Phone: 505-727-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for FAITH O IGBERAESE · (Female)

NPI Number 1316742760
Status Active
Credentials
Entity Individual
Enumeration date 02/18/2025
Last updated 05/21/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CO License # APN.1000499-NP
  • CO License # RN.0182083
  • NM License # 83157
  • NM Other 83157 STATE LICENSE
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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