Victoria Jewel Abraham
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portales, NM
NPI 1952964017 · NPPES record last updated Apr 15, 2019
Key facts
- NPI
- 1952964017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1500 South Ave K
Station 3 Shroc
Portales, NM 88130 - Phone
- (800) 367-3668
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern New Mexico University | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1500 South Ave K
Station 3 Shroc
Portales, NM 88130
Mailing address
1500 S Avenue K
Station 3 Shroc
Portales, NM 88130-7400
Other providers in Portales, NM
- Kandice Ann Paguio Abaya
- Jacqueline Acevedo Gonzalez
- Mikaela Ivy-Kian Adais Addams
- Robert Marion Addison
- Alicia Aguilar
- Taylor Alig
All providers in Portales, NM · Student in an Organized Health Care Education/Training Program 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 Apr 15, 2019. 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.