Doctor Name: | MICHELLE TREME |
NPI Number: | 1003231390 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R-46754 |
Business Practice Address: | 6400 Uptown Blvd Ne Ste 360w Albuquerque, NM - 871104204 |
Business Phone Number: | 5058559805 |
Business Fax Number: | 5058489468 |
Mailing Address: | 6400 Uptown Blvd Ne, Ste 360w ALBUQUERQUE |
State: | NM |
Postal Code: | 871104204 |
Phone Number: | 5058559805 |
Fax Number: | 5058489468 |
NPI Enumeration Date: | 02/24/2014 |
NPI Last Update Date: | 02/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | R-46754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |