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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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 1255843710 NPPES
Other CNP-03412 NEW MEXICO BOARD OF NURSING
Other R46548 NEW MEXICO BOARD OF NURSING

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