Burella Nuanez, Jennifer
Burella Nuanez, Jennifer is an sole proprietor health care provider with primary practice located at 2611 Eubank Blvd Ne Aztec Complex, Albuquerque NM 87112-1312. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Burella Nuanez, Jennifer can be contacted via phone (505) 298-6752.Contact Information
Primary practice address
2611 Eubank Blvd Ne Aztec Complex
Albuquerque NM 87112-1312
Phone: (505) 298-6752
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | I 3642 | New Mexico |
Profile Details
| NPI number | 1841416583 |
|---|---|
| LBN Legal business name | Burella Nuanez, Jennifer |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1841416583 | NPPES |
| New Mexico | MEDICAID | S 0627 |
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