Organization · Type 2 NPI
Advanced Diabetes Care, Llc.
Nurse Practitioner · Placitas, NM
Practice location
3 Gringo Gulch Rd
Placitas, NM 87043-8721
Fax (505) 881-4694
Mailing address
11024 Montgomery Blvd NE # 253
Albuquerque, NM 87111-3962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1366744229
Advanced Diabetes Care, Llc.'s National Provider Identifier is 1366744229, issued on Nov 29, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Placitas, NM. The record was last updated on Sep 29, 2026.