Individual
BRIEANN PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9833 STONE ST NW, ALBUQUERQUE, NM 87114-4416
(505) 450-2930
Mailing address
8100 WYOMING BLVD NE STE M4-796, ALBUQUERQUE, NM 87113-1946
(505) 450-2930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65313
NM
363LF0000X
Family Nurse Practitioner
F08210364
NM
Other
Enumeration date
08/17/2021
Last updated
11/09/2021
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