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Contact Information

VDEX DIABETES NM-BROWN
1811 N RIVERSIDE DR STE C
ESPAÑOLA, NM87532-9550
 Phone: 505-747-0506
 Fax: 505-747-0507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for VDEX DIABETES NM-BROWN

NPI # 1144717075
LBN Legal business name VDEX DIABETES NM-BROWN
Authorized official STEPHANIE BROWN - (PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2018
Last updated 04/16/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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