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Individual

JUSTEEN A GRIEGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
8300 SAN PEDRO DR NE STE C, ALBUQUERQUE, NM 87113-1704
(505) 907-5652
(505) 212-4021
Mailing address
8300 SAN PEDRO DR NE STE C, ALBUQUERQUE, NM 87113-1704
(505) 907-5652
(505) 212-4021

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN-72666
NM
363LF0000X
Family Nurse Practitioner
Primary
54134
NM
363LP2300X
Primary Care Nurse Practitioner
54134
NM

Other

Enumeration date
07/30/2018
Last updated
04/25/2024
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