NPI 1154785640

Extended Healthcare, LLC

Organisation General Practice Physician Albuquerque, NM

Practice location

Address: 2600 Veranda Rd NW, Albuquerque, NM 87107-2940
Phone: (505) 414-3996

Authorised official

Name: Joan Patricia Lewis
Title: Ceo
Phone: (505) 414-3996

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in New Mexico →

Adult Health Clinical Nurse Specialist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SA2200X

Other Clinical Nurse Specialist providers in New Mexico →

Registry record

NPI: 1154785640
Entity type: Organization
NPI issued: 11 Apr 2016
Record last updated: 11 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.