Individual
THERESA RENEE HEYNEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 WALTER ST NE STE 501, ALBUQUERQUE, NM 87102-2521
(505) 727-3170
(505) 727-9590
Mailing address
4101 INDIAN SCHOOL RD NE STE 110, ALBUQUERQUE, NM 87110-3991
(505) 727-3170
(505) 727-9590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2009-0096
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2009-0096
NM
207RP1001X
Pulmonary Disease Physician
Primary
MD2009-0096
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43871763
—
NM
Enumeration date
02/06/2007
Last updated
01/21/2025
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