Individual
TINA VENAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8800 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2310
(505) 462-6400
Mailing address
8800 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2310
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN-87251
NM
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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