Individual provider · Type 1 NPI

Bridget Mooney

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

NPI number 1801279377 Active

Practice location

1500 S Ave K, Station 3
Portales, NM 88130

Call (575) 562-2156 Map

Mailing address

1500 S Avenue K # 3
Portales, NM 88130-7400

Other practice locations

  • 1106 N 155th St, Suite B, Basehor, KS 66007-7100 · (913) 662-7071

Specialties and licenses

TaxonomyCodeLicense
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 1801279377

Bridget Mooney's National Provider Identifier is 1801279377, issued on Jul 2, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portales, NM. The record was last updated on Jul 21, 2022.