# NANULIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Passport Health New Mexico
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982825667
- **Authorized official:** NANCI BALDWIN RN (CO-OWNER)
- **Authorized official phone:** (505) 881-8785

## Contact information

- **Practice address:** 1717 LOUISIANA BLVD NE, SUITE 212, ALBUQUERQUE, NM 87110-7001
- **Practice address phone:** (505) 881-8785
- **Practice address fax:** (505) 872-8785
- **Mailing address:** 1717 LOUISIANA BLVD NE, SUITE 212, ALBUQUERQUE, NM 87110-4058
- **Mailing address phone:** (505) 881-8785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 03-035189-008 | NM | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 09/23/2010