Ventura, Vicki
Ventura, Vicki is an sole proprietor health care provider with primary practice located at 4801 Lang Avenue Ne Suite 110, Albuquerque NM 87109-4407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Ventura, Vicki can be contacted via phone (505) 798-2633.Contact Information
Primary practice address
4801 Lang Avenue Ne Suite 110
Albuquerque NM 87109-4407
Phone: (505) 798-2633
Fax: (505) 796-9801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | CNS0069 | New Mexico |
Profile Details
| NPI number | 1629172333 |
|---|---|
| LBN Legal business name | Ventura, Vicki |
| Credentials | MSN,CNS,APRN,BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Feb 19th, 2013 - about 12 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 | 1629172333 | NPPES |
| New Mexico | MEDICAID | 93183038 |
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