Individual
MS. CASEY LARA FIGUEREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HOSPITAL LOOP NE STE 201, ALBUQUERQUE, NM 87109-2128
(505) 727-4430
Mailing address
101 HOSPITAL LOOP NE STE 201, ALBUQUERQUE, NM 87109-2128
(505) 727-4430
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
F263-1129-7639
IL
363A00000X
Physician Assistant
Primary
PA2024-0128
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2024-0128
NM LICENSE
NM
Enumeration date
09/27/2017
Last updated
12/06/2024
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