Individual provider · Type 1 NPI

Stefanie Corral-Enriquez

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

NPI number 1316453889 Active

Practice location

2600 Marble NE Building 2
Albuquerque, NM 87131-2360

Call (505) 272-2190 Map

Fax (505) 272-3466

Mailing address

707 Broadway Blvd NE
Albuquerque, NM 87102-2360

Other practice locations

  • 707 Broadway Blvd NE, Albuquerque, NM 87102-2360 · (505) 345-8471

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
School Social Worker 1041S0200XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1316453889

Stefanie Corral-Enriquez's National Provider Identifier is 1316453889, issued on Dec 20, 2017. 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 Aug 27, 2020.