Individual
MRS. JANET GALE BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA RN BSN CNOR
Contact information
Practice address
1311 CAMINO ECUESTRE NW, ALBUQUERQUE, NM 87107-2612
(505) 345-4647
(505) 345-3127
Mailing address
1311 CAMINO ECUESTRE NW, ALBUQUERQUE, NM 87107-2612
(505) 345-4647
(505) 345-3127
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R18882
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007286391
AETNA
NM
01
—
3474983
CIGNA HEALTHCARE
NM
01
—
R79Z
BLUE CROSS BLUE SHIELD
NM
Enumeration date
10/24/2006
Last updated
07/08/2007
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