Organization
KOLOMEIR CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN KOLOMEIR PMHNP-BC (NURSE PRACTITIONER OWNER)
(505) 720-3819
Entity
Organization
Contact information
Practice address
5345 WYOMING BLVD, SUITE 101, ALBUQUERQUE, NM 87109-3193
(505) 856-6898
(505) 292-1574
Mailing address
8205 SPAIN RD NE, SUITE 106, ALBUQUERQUE, NM 87109-3155
(505) 384-7352
(505) 274-7338
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84887231
—
NM
Enumeration date
04/20/2011
Last updated
01/28/2014
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