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Contact Information

ADVANCED DIABETES CARE, LLC.
4425 JUAN TABO BLVD NE STE 103B
ALBUQUERQUE, NM87111-2684
 Phone: 505-881-4648
 Fax: 505-881-4694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED DIABETES CARE, LLC.

NPI Number 1366744229
LBN Legal business name ADVANCED DIABETES CARE, LLC.
Authorized official JULIE KRAWCHUCK - (OWNER/CFNP)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2010
Last updated 07/19/2022 - About 4 years ago
Identifiers
NM Medicaid 21682364
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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