Organization
VASPRO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH G ABBOTT (PRESIDENT / CEO)
(505) 298-1558
Entity
Organization
Contact information
Practice address
10400 ACADEMY RD NE, SUITE 340, ALBUQUERQUE, NM 87111-1229
(505) 298-1558
(505) 298-7012
Mailing address
10400 ACADEMY RD NE, SUITE 340, ALBUQUERQUE, NM 87111-1229
(505) 298-1558
(505) 298-7012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R18198
NM
363L00000X
Nurse Practitioner
R19106
NM
363L00000X
Nurse Practitioner
R25188
NM
363L00000X
Nurse Practitioner
R31749
NM
363L00000X
Nurse Practitioner
RN086525
AZ
363L00000X
Nurse Practitioner
RN130480
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18828779
—
NM
01
—
NM017025
BC/BS OF NM
NM
Enumeration date
10/19/2005
Last updated
08/22/2020
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