Sharon Lynn Bamberg, L.AC.

Individual provider Active NPI Acupuncturist · Albuquerque, NM

NPI 1336102748 · NPPES record last updated Oct 30, 2015

Key facts

NPI
1336102748
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
1139 (NM)
Practice address
10324 Durham St NW
Albuquerque, NM 87114-5541
Phone
(505) 301-3207
Fax
(505) 899-1200
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1139NMMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1139 NM Yes

Addresses

Primary practice location

10324 Durham St NW
Albuquerque, NM 87114-5541

Mailing address

10324 Durham St NW
Albuquerque, NM 87114-5541
Phone (505) 301-3207

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Acupuncturist in New Mexico

Sources for this page

Verify at the official NPI Registry.