Individual
MICHELLE INGRID ADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3804 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1081
(505) 883-8099
Mailing address
3804 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1081
(505) 883-8099
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
CNP-02307
NM
363LF0000X
Family Nurse Practitioner
CNP-02307
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023130230
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24327778
—
NM
01
—
335732YR41
MEDICARE PTAN
NM
Enumeration date
12/02/2013
Last updated
12/27/2023
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