Organization
ADVANCED DIABETES CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE D KRAWCHUCK (OWNER/CFNP)
(505) 881-4648
Entity
Organization
Contact information
Practice address
4425 JUAN TABO BLVD NE STE 103B, ALBUQUERQUE, NM 87111-2684
(505) 881-4648
(505) 881-4694
Mailing address
4425 JUAN TABO BLVD NE STE 103B, ALBUQUERQUE, NM 87111-2684
(505) 881-4648
(505) 881-4694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21682364
—
NM
Enumeration date
11/29/2010
Last updated
07/19/2022
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