Individual
JACQUELINE L CROMEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
715 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3661
(505) 727-3040
(505) 727-3099
Mailing address
715 DR MARTIN LUTHER KING JR AVE NE, SUITE 102, ALBUQUERQUE, NM 87102-3661
(505) 727-3040
(505) 727-3099
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R49381
NM
363L00000X
Nurse Practitioner
Primary
CNP01224
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30838827
—
NM
Enumeration date
10/03/2006
Last updated
01/13/2015
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