Advanced Diabetes Care, Llc.

LBN: Advanced Diabetes Care, Llc.
Advanced Diabetes Care, Llc. is an health care organization with primary practice located at 4425 Juan Tabo Blvd Ne Ste 103B , Albuquerque NM 87111-2684. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Advanced Diabetes Care, Llc. can be contacted via phone (505) 881-4648, or through Krawchuck, Julie D via phone (505) 881-4648.

Contact Information

Primary practice address
4425 Juan Tabo Blvd Ne Ste 103B Albuquerque NM 87111-2684
Phone: (505) 881-4648
Fax: (505) 881-4694
Website:
Map and Directions
Authorized official contact:
Name: Krawchuck, Julie D
Phone: (505) 881-4648

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1366744229
LBN Legal business name Advanced Diabetes Care, Llc.
DBA Doing business as
Authorized official Krawchuck, Julie D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2010
Last updated Jul 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366744229 NPPES
New Mexico MEDICAID 21682364

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