Organization
SDLT, LLC
Active
Organization
SDLT, LLC
Active
Other names
Clinica Simpatica
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY LANE BRADFIELD CNP (OWNER/PROVIDER)
(505) 453-0958
Entity
Organization
Contact information
Practice address
5800 MCLEOD RD NE, ALBUQUERQUE, NM 87109-2454
(505) 453-0958
(505) 422-8612
Mailing address
6704 BROADWAY BLVD NE, ALBUQUERQUE, NM 87107-5911
(505) 453-0958
(505) 422-8612
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1198
NM
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP-02695
NM
Other
Enumeration date
08/15/2017
Last updated
03/07/2023
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