Vergeer, Jennifer
Vergeer, Jennifer is an individual health care provider with primary practice located at 4901 Lang Ave Ne , Albuquerque NM 87109-4495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Vergeer, Jennifer can be contacted via phone (505) 842-8171.Contact Information
Primary practice address
4901 Lang Ave Ne
Albuquerque NM 87109-4495
Phone: (505) 842-8171
Fax: (505) 246-0684
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | CNP-03004 | New Mexico |
Profile Details
NPI number | 1538612353 |
---|---|
LBN Legal business name | Vergeer, Jennifer |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2016 |
Last updated | Nov 14th, 2023 - about 2 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 | 1538612353 | NPPES |
New Mexico | MEDICAID | 64689077 |
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