Organization
DIABETES NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ANNE GRAY CNS, BC-ADM, CDE (CO-OWNER, CFO, COO)
(505) 830-0100
Entity
Organization
Contact information
Practice address
4108 ALCAZAR ST NE, ALBUQUERQUE, NM 87109-1809
(505) 830-0100
(505) 830-4199
Mailing address
4108 ALCAZAR ST NE, ALBUQUERQUE, NM 87109-1809
(505) 830-0100
(505) 830-4199
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R79B
BCBS PROVIDER NUM
NM
Enumeration date
01/05/2007
Last updated
08/22/2020
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