Most Relevant Information
Provider Data
| NPI Number: | 1003255639 |
| Provider Name: | NICOLE ANN BADILLO CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 364SW0102X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 92532 |
Most Important Dates
| Enumeration Date: | 06/17/2013 |
| Last Updated: | 12/18/2015 |
Provider Practice Location
4010 MONTGOMERY BLVD NE
ALBUQUERQUE
NM
87109
Practice Location Phone/Fax
| Phone: | 5052546500 |
| Fax: | 5052546540 |
Provider Mailing Location
5400 GIBSON BLVD. SE
ALBUQUERQUE
NM
87108
Provider Mailing Phone/Fax
| Phone: | 5052627000 |
| Fax: | 5052627729 |