Individual
MARTHA BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, BUILDING 4, SUITE A, ALBUQUERQUE, NM 87102-2706
(505) 272-3935
(505) 873-6403
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R19460
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J0567
—
NM
Enumeration date
07/08/2006
Last updated
07/10/2012
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