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Individual

MS. VICKI VENTURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN,CNS,APRN,BC

Contact information

Practice address
4801 LANG AVENUE NE, SUITE 110, ALBUQUERQUE, NM 87109-4407
(505) 798-2633
(505) 796-9801
Mailing address
4608 GRETTA COURT NE, ALBUQUERQUE, NM 87111-3715
(505) 452-2286

Taxonomy

Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CNS0069
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
93183038
NM
Enumeration date
09/12/2006
Last updated
02/19/2013
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