Individual
NENA MARIE VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 SHERWOOD ST NE, ALBUQUERQUE, NM 87109-2818
(505) 369-6488
Mailing address
4612 SHERWOOD ST NE, ALBUQUERQUE, NM 87109-2818
(505) 369-6488
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
77616
NM
363LP2300X
Primary Care Nurse Practitioner
Primary
77616
NM
Other
Enumeration date
01/24/2024
Last updated
01/26/2024
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