Gordon Bernell Charter School

Practice location

Address

2821 4th St NW, Albuquerque, NM 87107-1313

Phone

(505) 916-8618

Fax

(505) 208-7880

Mailing address

3838 N Central Ave STE 1600, Phoenix, AZ 85012-1950

Authorised official

Name

Michelle Renee Gentry

Title

Credentialing Specialist

Phone

(800) 354-4881

Registered specialties

Registry record

NPI

1174164974

Entity type

Organization

NPI issued

2 Oct 2019

Record last updated

2 Oct 2019

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.