Individual
MISS SIYU LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
2211 LOMAS BLVD NE, ABUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
57628
NM
363LA2200X
Adult Health Nurse Practitioner
Primary
57628
NM
363LG0600X
Gerontology Nurse Practitioner
57628
NM
Other
Enumeration date
08/02/2022
Last updated
07/13/2023
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