Perea-Zamora, Bernadette
Perea-Zamora, Bernadette is an sole proprietor 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 Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Perea-Zamora, Bernadette can be contacted via phone (505) 508-3458.Contact Information
Primary practice address
601 Dr Martin Luther King Jr Ave Ne
Albuquerque NM 87102-3619
Phone: (505) 508-3458
Fax: (505) 508-3458
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP-03412 | New Mexico |
Nursing Service Providers / Critical Care Medicine | 163WC0200X | R46548 | New Mexico |
Profile Details
NPI number | 1255843710 |
---|---|
LBN Legal business name | Perea-Zamora, Bernadette |
Credentials | NURSE PRACTITIONER |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 24th, 2017 |
Last updated | Jun 16th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255843710 | NPPES |
Other | CNP-03412 | NEW MEXICO BOARD OF NURSING | |
Other | R46548 | NEW MEXICO BOARD OF NURSING |
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