Individual
DANIEL JOHN PERDAEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 MEDICAL ARTS AVE NE STE A, ALBUQUERQUE, NM 87102-2700
(505) 272-3935
Mailing address
6810 SUMMER AVE NE, ALBUQUERQUE, NM 87110-7134
(406) 581-0653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
57636
NM
363L00000X
Nurse Practitioner
Primary
57636
NM
Other
Enumeration date
08/28/2023
Last updated
12/17/2024
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