| Doctor Name: | MS. MAUREEN KOLOMEIR |
| NPI Number: | 1003148156 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CNP |
| License Number: | CNP-01573 |
| Business Practice Address: | 5345 Wyoming Blvd Suite 101 Albuquerque, NM - 871093193 |
| Business Phone Number: | 5058566898 |
| Business Fax Number: | 5052921574 |
| Mailing Address: | 8205 Spain Rd Ne, Suite 106 ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871093155 |
| Phone Number: | 5053847352 |
| Fax Number: | 5052747338 |
| NPI Enumeration Date: | 01/30/2010 |
| NPI Last Update Date: | 01/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | CNP-01573 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |