Most Relevant Information
Provider Data
| NPI Number: | 1003598830 |
| Provider Name: | NANCY SPEAR MSW INTERN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2023 |
| Last Updated: | 08/02/2023 |
Provider Practice Location
120 DARTMOUTH DR SE APT D
ALBUQUERQUE
NM
871062261
Practice Location Phone/Fax
| Phone: | 5053339042 |
| Fax: | 5057965475 |
Provider Mailing Location
120 DARTMOUTH DR SE APT D
ALBUQUERQUE
NM
871062261
Provider Mailing Phone/Fax
| Phone: | 5053339042 |
| Fax: | 5057965475 |