NPI 1619233947

Blaine L Brown

Practitioner Skilled Nursing Facility Albuquerque, NM

Practice location

Address: 1509 University Blvd NE, Albuquerque, NM 87102-1708
Phone: (505) 243-2257
Mailing address: 10419 San Gregorio Dr NW, Albuquerque, NM 87114-4761

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence A-0851 (NM)

Other Skilled Nursing Facility providers in New Mexico →

Registry record

NPI: 1619233947
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2012
Record last updated: 11 Apr 2012

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.