ETHEL MAE JORGENSEN


Address: 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434
Phone: 5052655976

ETHEL MAE JORGENSEN (NPI# 1538175377) 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) 1538175377
Entity Type Individual
Full Name ETHEL MAE JORGENSEN
Credential CNP
Practice Address 719 San Mateo Blvd Ne
Albuquerque
NM 87108-1434
Mailing Address 7109 Derickson Ave Ne
Albuquerque
NM 87109-4805
Practice Telephone 5052655976
Mailing Telephone 5058229179
Enumeration Date 2006-08-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
R23911 NM Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 719 SAN MATEO BLVD NE
City ALBUQUERQUE
State NM
Zip Code 87108-1434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043493166 Linell Ann Thompson Nurse Practitioner 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 2007-12-12
1396950838 Anne-marie Lehmann Registered Nurse 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 2007-05-10
1508994559 Andrea Cormier Physician Assistant 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 2007-03-01
1184793283 Planned Parenthood of N.m., Inc. Nurse Practitioner 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 2006-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588274393 Aubrey Bunnenberg Behavior Technician 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 2020-08-06
1336757301 Dailey Doss Physician Assistant Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 2020-07-16
1457990046 Christine Lovato Registered Nurse Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 2019-12-30
1265074405 Andrew Jacob Reuter Pharmacist 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 2019-10-09
1518517325 Lillian Abeyta Technician 1501 San Pedro Dr Se., Albuquerque, NM 87108 2019-09-13
1962970061 Donald Borrego Occupational Therapy Assistant 5200 Copper Ne, #7, Albuquerque, NM 87108 2018-11-06
1154808012 Catalina Castro Social Worker 209 San Pablo Se, Albuquerque, NM 87108 2018-07-24
1942721048 Walgreen Co Pharmacy 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 2017-06-29
1467981860 Jennifer Martinez Behavior Technician 628 Espanola Se, Albuquerque, NM 87108 2017-06-08
1457892465 J Dowd Counseling LLC Counselor 514 Monroe Street Se, Albuquerque, NM 87108 2017-03-10
Find all providers in zip 87108

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386938553 Dina Jene Reid Nurse Practitioner 11616 Snowheights Blvd Ne, Albuquerque, NM 87112-3158 2011-06-06
1174645113 Joanne Marlene Williams Nurse Practitioner 8712 Chambers Pl Ne, Albuquerque, NM 87111-2138 2007-04-03
1215953302 Amy Jo Levi Nurse Practitioner Msc 09 5350, 1 University of New Mexico, Albuquerque, NM 87131-0001 2006-07-14
1467441709 Donna Ann Ketcheson Nurse Practitioner 801 Encino Pl Ne Ste D5, Albuquerque, NM 87102-2644 2005-10-19
1003441601 Lauren Larkin Nurse Practitioner 5150 San Francisco Rd Ne, Albuquerque, NM 87109-4640 2020-03-04
1912494311 Grace Jacobson Nurse Practitioner 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 2018-04-20
1245611011 Julie Ann Hall Nurse Practitioner University of New Mexico Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 2015-06-17
1003255639 Nicole Ann Badillo Nurse Practitioner 4010 Montgomery Blvd Ne, Albuquerque, NM 87109 2013-06-17
1245515907 Erin Rae Flint Nurse Practitioner 201 Cedar Se #405, 405, Albuquerque, NM 87106-3392 2011-10-13
1891009650 Katherine Reilly Behning Nurse Practitioner 1001 Coal Ave Se, Albuquerque, NM 87106-5205 2010-08-03
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87108

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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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