Individual
AMY L. BUBBICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
FOUR HUMOURS HEALTHCARE, 4304 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
(505) 888-1075
(505) 888-1082
Mailing address
FOUR HUMOURS HEALTHCARE, 4304 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
(505) 888-1075
(505) 888-1082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R28075
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18702821
—
NM
Enumeration date
06/30/2008
Last updated
09/06/2019
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