Individual
ANTONIO BRICENO PARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8417 WASHINGTON PL NE STE A, ALBUQUERQUE, NM 87113-1720
(505) 273-9453
(505) 503-1619
Mailing address
11447 MANZANO VISTA AVE SE, ALBUQUERQUE, NM 87123-2975
(407) 990-3828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55814
NM
Other
Enumeration date
07/01/2024
Last updated
07/04/2024
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