Madrid, Nancy Elizabeth

Madrid, Nancy Elizabeth is an individual health care provider with primary practice located at 10701 Prospect Ave Ne , Albuquerque NM 87112-3261. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Madrid, Nancy Elizabeth can be contacted via phone (505) 323-1284.

Contact Information

Primary practice address
10701 Prospect Ave Ne Albuquerque NM 87112-3261
Phone: (505) 323-1284
Fax: (505) 323-1284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3057 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X D069022 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X 11411 Texas
Behavioral Health & Social Service Providers / School 101YS0200X 282432 New Mexico

Profile Details

NPI number 1144212168
LBN Legal business name Madrid, Nancy Elizabeth
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144212168 NPPES
New Mexico Other NM10071 VALUE OPTIONS
New Mexico Other 541470 VALUE OPTIONS
New Mexico MEDICAID 42179351 VALUE OPTIONS
New Mexico Other 89998 VALUE OPTIONS

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