Organization
OLA SALUD HEALTHCARE
Active
Organization
OLA SALUD HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANA KEALOHILANI MARTINEZ CNP (NURSE PRACTITIONER)
(505) 504-5744
Entity
Organization
Contact information
Practice address
4001 OFFICE COURT DRIVE, 801, SANTA FE, NM 87507
(505) 504-5744
(866) 710-4565
Mailing address
6028 CARDIGAN CT. NW, ALBUQUERQUE, NM 87120
(505) 504-5744
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP 02038
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73588245
—
NM
Enumeration date
04/23/2015
Last updated
04/23/2015
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