Vallejos, Annie
Vallejos, Annie is an individual health care provider with primary practice located at 3777 Nm Highway 528 Nw , Rio Rancho NM 87144-7650. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vallejos, Annie can be contacted via phone (505) 404-2590.Contact Information
Primary practice address
3777 Nm Highway 528 Nw
Rio Rancho NM 87144-7650
Phone: (505) 404-2590
Fax: (505) 404-2591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP-02474 | New Mexico |
Profile Details
| NPI number | 1154739167 |
|---|---|
| LBN Legal business name | Vallejos, Annie |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2014 |
| Last updated | Apr 14th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154739167 | NPPES |
| New Mexico | MEDICAID | 83237208 |
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