Individual
MS. CELINA M JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
465 SAINT MICHAELS DR, SUITE 211, SANTA FE, NM 87505-7670
(505) 984-2600
Mailing address
465 SAINT MICHAELS DR, SANTA FE, NM 87505-7670
(505) 984-2600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R12553
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10036223
LOVELACE
—
05
—
13778358
—
NM
01
—
202024507
PRESBYTERIAN HEALTH PLANS
—
01
—
2783018
UHC
—
01
—
NM006F59
BCBS NM
NM
01
—
QMP000003397216
MOLINA
—
Enumeration date
07/19/2006
Last updated
05/10/2011
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