Organization
CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA JUDY BSN,RN,CDE (DIABETES CLINICAL EDUCATOR)
(505) 913-4307
Entity
Organization
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-4307
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-4307
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN76458
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710289814
NPI
—
Enumeration date
05/29/2015
Last updated
05/29/2015
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