Organization
PLANNED PARENTHOOD OF N.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY C BLACK (PRESIDENT/CEO)
(505) 265-5976
Entity
Organization
Contact information
Practice address
719 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87108-1434
(505) 265-5976
(505) 266-1017
Mailing address
719 SAN MATEO NE, ALBUQUERQUE, NM 87108
(505) 265-5976
(505) 266-1017
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51045
—
NM
Enumeration date
11/06/2006
Last updated
03/25/2010
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