Individual
NORBERT JAY SANIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 724-6124
Mailing address
500 WALTER ST NE STE 110, ALBUQUERQUE, NM 87102-2541
(505) 727-8360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
65109
NM
Other
Enumeration date
08/17/2021
Last updated
02/12/2025
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