Organization
GRACE & MERCY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA RICKETTS APRN (OWNER)
(516) 738-1997
Entity
Organization
Contact information
Practice address
6916 MONTGOMERY BLVD NE STE B-9, ALBUQUERQUE, NM 87109-1489
(505) 487-2802
Mailing address
8206 LOUISIANA BLVD NE STE A, ALBUQUERQUE, NM 87113-1738
(505) 487-2802
(770) 502-6722
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2026
Last updated
08/17/2026
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