CLINICA DE LA GLORIA (NPI# 1174850291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174850291 |
| Entity Type | Organization |
| Organization Name | CLINICA DE LA GLORIA |
| Practice Address |
1720 Bridge Blvd Sw Ste F Albuquerque NM 87105-3182 |
| Practice Telephone | 5052423335 |
| Practice Fax Number | 5052422700 |
| Mailing Telephone | 5052423335 |
| Mailing Fax Number | 5052422700 |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |
| Authorized Official Name | MS. GLORIA VIGIL (PRESIDENT) |
| Authorized Official Telephone | 5052423335 |
| Authorized Official Credential | CFNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
R11687 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1720 BRIDGE BLVD SW STE F |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-3182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255480307 | Gloria Vigil | Clinical Nurse Specialist | 1720 Bridge Blvd Sw Ste F, Albuquerque, NM 87105-3182 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509403 | Functional Family Medicine | Clinical Nurse Specialist | 7301 Jefferson St Ne Ste G, Albuquerque, NM 87109-4363 | 2014-09-02 |
| 1659805505 | New Mexico Health Care Clinicians Inc. | Clinical Nurse Specialist | 3911 4th St Nw, Suite A, Albuquerque, NM 87107-2510 | 2017-04-18 |
| 1215064399 | Mary Masuk | Clinical Nurse Specialist | 1111 Stanford Dr Ne, Albuquerque, NM 87106-3721 | 2007-02-27 |
| 1255480307 | Gloria Vigil | Clinical Nurse Specialist | 1720 Bridge Blvd Sw Ste F, Albuquerque, NM 87105-3182 | 2007-01-09 |
| 1740338086 | Virginia Valentine | Clinical Nurse Specialist | 6100 Pan American Freeway, Ne, Suite 390, Albuquerque, NM 87109-3401 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932469210 | Brenda Jo Neikirk | Clinical Nurse Specialist | 2055 S Pacheco St Ste 300, Santa Fe, NM 87505-0504 | 2012-05-21 |
| 1972758688 | Country Medical Services, LLC | Clinical Nurse Specialist | Nm State Highway 120, #1252 (fyi Rural Address), Pob 203, Ocate, NM 87734-0203 | 2008-11-21 |
| 1336486984 | Julie Shoemake | Clinical Nurse Specialist | 1900 N Dal Paso St, Hobbs, NM 88240-3045 | 2013-01-15 |
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on CLINICA DE LA GLORIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.