Mena, Raiza Stephanie

Mena, Raiza Stephanie is an individual health care provider with primary practice located at 601 Dr Martin Luther King Jr Ave Ne , Albuquerque NM 87102-3619. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Mena, Raiza Stephanie can be contacted via phone (505) 727-8206.

Contact Information

Primary practice address
601 Dr Martin Luther King Jr Ave Ne Albuquerque NM 87102-3619
Phone: (505) 727-8206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-85664 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X CNP-03492 New Mexico

Profile Details

NPI number 1386150076
LBN Legal business name Mena, Raiza Stephanie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2017
Last updated Feb 14th, 2018 - about 6 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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