Organization
NEW MEXICO FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA FRANCO FNP-BC (REGISTERED AGENT)
(505) 881-4012
Entity
Organization
Contact information
Practice address
3908 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-3971
(505) 881-4012
(505) 881-4898
Mailing address
3908 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-3971
(505) 881-4012
(505) 881-4898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00453
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51107066
—
NM
Enumeration date
08/16/2012
Last updated
08/16/2012
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