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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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