Individual
MS. SAMANTHA M MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCNP
Contact information
Practice address
5909 ALICE AVE NE, ALBUQUERQUE, NM 87110-6501
(505) 200-2927
Mailing address
8152 CORN MOUNTAIN PL NW, ALBUQUERQUE, NM 87114-6079
(505) 323-7769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03090
NM
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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