Individual
MISS ALLISON RAE HOORNBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2929 COORS BLVD NW, ALBUQUERQUE, NM 87120-1173
(505) 839-2300
(505) 839-2303
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2018-0070
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2018-0070
NEW MEXICO MEDICAL BOARD ISSUED LICENSE NUMBER
NM
Enumeration date
10/19/2018
Last updated
03/20/2025
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