Eileen Quezada

Individual provider Active NPI Case Manager/Care Coordinator · Bernalillo, NM

NPI 1447632005 · NPPES record last updated Jun 19, 2015

Key facts

NPI
1447632005
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
282 S Camino del Pueblo Ste 2C
Bernalillo, NM 87004-5913
Phone
(505) 288-3897
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

282 S Camino del Pueblo Ste 2C
Bernalillo, NM 87004-5913

Mailing address

314 Don Fernando St
Taos, NM 87571-5953

Other providers in Bernalillo, NM

All providers in Bernalillo, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.