Correa, Juanita

Correa, Juanita is an individual health care provider with primary practice located at 2 Dove Rd , Bernalillo NM 87004-5906. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Correa, Juanita can be contacted via phone (505) 771-6759.

Contact Information

Primary practice address
2 Dove Rd Bernalillo NM 87004-5906
Phone: (505) 771-6759
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X

Profile Details

NPI number 1710684980
LBN Legal business name Correa, Juanita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2023
Last updated Feb 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710684980 NPPES
New Mexico Other 011803776 DL

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