Individual
DR. ALEXANDRA NINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MSC 09-50401 1 UNIVERSITY OF NEW MEXICO (FPC), ALBUQUERQUE, NM 87131-0001
(505) 272-8291
(505) 272-1348
Mailing address
PO BOX 4907, ALBUQUERQUE, NM 87196-4907
(575) 613-2580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2023-1038
NM
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD2023-1038
NM
Other
Enumeration date
01/14/2019
Last updated
07/02/2024
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