Angela D Banks
Individual provider Active NPI Case Manager/Care Coordinator · Los Lunas, NM
NPI 1487914735 · NPPES record last updated May 23, 2012
Key facts
- NPI
- 1487914735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 750 Morris Rd. SW
Los Lunas, NM 87031-5242 - Phone
- (505) 866-2300
- Fax
- (505) 866-2309
- NPI assigned
- May 21, 2012
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
750 Morris Rd. SW
Los Lunas, NM 87031-5242
Mailing address
750 Morris Rd. SW
Los Lunas, NM 87031-0000
Phone (505) 866-2300
Other providers in Los Lunas, NM
- Mary Jo Ranells Baca
- Stephanie Briana Baca
- Larissa Baldonado
- Alyssa Baldwin
- Elizabeth Baltazar
- Jillian Bareford
- Rachel Barloon
- Ericka Barrandey
- Arysleida Barraza-Gutierrez
- Melanie Rose Barreto
All providers in Los Lunas, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.