Prof Cecilia Lorraine Cordova, CFNP | |
1608 Isleta Blvd Sw, Albuquerque, NM 87105-4634 | |
(505) 907-8311 | |
(866) 265-6465 |
Full Name | Prof Cecilia Lorraine Cordova |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1608 Isleta Blvd Sw, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841432564 | NPI | - | NPPES |
30254 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R17186 (New Mexico) | Primary |
Entity Name | Justice Access Support And Solutions For Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376823625 PECOS PAC ID: 1456614379 Enrollment ID: O20180406000098 |
Mailing Address | Practice Location Address |
---|---|
Prof Cecilia Lorraine Cordova, CFNP 4425 San Isidro St Nw, Albuquerque, NM 87107-2840 Ph: (505) 345-5887 | Prof Cecilia Lorraine Cordova, CFNP 1608 Isleta Blvd Sw, Albuquerque, NM 87105-4634 Ph: (505) 907-8311 |
Mrs. Kristell L Michael, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Us Air Force 377 Mdg/sghc 2050a Second Street Se, Albuquerque, NM 87117 Phone: 505-846-3562 Fax: 334-953-8607 | |
Mr. Michael Alan Wallace, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8210 Louisiana Blvd Ne, Suite C, Albuquerque, NM 87113 Phone: 505-858-1222 Fax: 505-858-1224 | |
Ms. Maureen Kolomeir, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5345 Wyoming Blvd, Suite 101, Albuquerque, NM 87109 Phone: 505-856-6898 Fax: 505-292-1574 | |
Patricia J Miller, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Care Campus, 5901 Zuni Rd Se, Albuquerque, NM 87108 Phone: 505-321-4269 | |
Mrs. Jessika Junick, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 Phone: 505-292-8575 Fax: 505-292-8409 | |
Phyllis Annette Ingham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Lead Ave Se, Albuquerque, NM 87106 Phone: 505-224-7000 | |
Debra Vaccaro, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Comanche Rd Ne Ste C, Albuquerque, NM 87107 Phone: 505-998-7200 Fax: 505-998-7220 |