Archuleta, Kimberly
Archuleta, Kimberly is an individual health care provider with primary practice located at Pmg San Mateo 401 San Mateo Blvd Se, Albuquerque NM 87108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Archuleta, Kimberly can be contacted via phone (505) 462-7333.Contact Information
Primary practice address
Pmg San Mateo 401 San Mateo Blvd Se
Albuquerque NM 87108
Phone: (505) 462-7333
Fax: (505) 462-7495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | R43799 | New Mexico |
Profile Details
| NPI number | 1811008717 |
|---|---|
| LBN Legal business name | Archuleta, Kimberly |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 14th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811008717 | NPPES |
| New Mexico | MEDICAID | 37289578 |
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