MS. ASHA DVORA POLLEM


Address: 2661 Floral Rd Nw, Albuquerque, NM 87104-1956
Phone: 5055507610

MS. ASHA DVORA POLLEM (NPI# 1245463702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245463702
Entity Type Individual
Full Name MS. ASHA DVORA POLLEM
Credential C.N.P.
Practice Address 2661 Floral Rd Nw
Albuquerque
NM 87104-1956
Practice Telephone 5055507610
Practice Fax Number 5052481351
Mailing Telephone 5055507610
Enumeration Date 2009-09-01
Last Update Date 2013-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
R39757 NM Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
CNP-01814 NM Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2661 FLORAL RD NW
City ALBUQUERQUE
State NM
Zip Code 87104-1956

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City ALBUQUERQUE
Zip Code 87104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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