Individual provider · Type 1 NPI

Anusara Carolyn Ellen Ice, MD

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1093459356 Active

Practice location

MSC10 5610 1 University Of New Mexico
Albuquerque, NM 87131-0001

Call (505) 272-4161 Map

Fax (505) 272-2776

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRS2022-0556 (NM)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093459356

Anusara Carolyn Ellen Ice, MD's National Provider Identifier is 1093459356, issued on Apr 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 4, 2025.