Individual
SUSAN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9640 MENAUL BLVD NE, CVS MINUTE CLINIC, ALBUQUERQUE, NM 87112-2217
(505) 294-4167
Mailing address
9640 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2217
(505) 294-4167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R30405
NM
363LF0000X
Family Nurse Practitioner
R30405
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q2493
—
NM
Enumeration date
01/29/2007
Last updated
01/29/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us