Individual
MS. ILENE MARIE CARMENATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1 UNIVERSITY BLVD, ALBUQUERQUE, NM 87131-0001
(505) 272-1977
Mailing address
7 CALLE CIELO AZUL, PERALTA, NM 87042-8200
(505) 865-5958
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R35941
NM
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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