Individual
JENNIFER VERGEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
(505) 246-0684
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 821-6692
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
CNP-03004
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64689077
—
NM
Enumeration date
07/28/2016
Last updated
10/29/2024
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