MR. MICHAEL WILLS KELEHER


Address: 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234
Phone: 5058840417

MR. MICHAEL WILLS KELEHER (NPI# 1770968257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770968257
Entity Type Individual
Full Name MR. MICHAEL WILLS KELEHER
Credential CNP
Practice Address 4340 San Mateo Blvd Ne
Albuquerque
NM 87110-1234
Practice Telephone 5058840417
Mailing Telephone 5058840417
Enumeration Date 2015-07-24
Last Update Date 2016-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
CNP-02721 NM Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL KELEHER

NPI Name Taxonomy Address Enumeration
1013928258 Michael W. Keleher Radiology 3525 Olentangy River Rd, Ste 5360, Columbus, OH 43214-3937 2006-08-11

Office Location

Street Address 4340 SAN MATEO BLVD NE
City ALBUQUERQUE
State NM
Zip Code 87110-1234

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629116306 Susan Gay Blair-buckley Physician Assistant 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 2007-02-02
1790252971 Yvette Marquez Pharmacist 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 2018-10-25
1770866063 Mark C Shortencarier Pharmacist 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 2011-09-22
1588946735 Cassandra Metu Pharmacist 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 2011-09-14
1841507746 Michael Anthony Kirolos Pharmacist 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 2010-09-13
1639304850 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 4340 San Mateo Blvd Ne, Albuquerque, NM 87110 2009-05-18
1982734125 Paula Frank Nurse Practitioner 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 2007-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215550199 Sabrina Jennifer Lujan Counselor 8401 Constitution Ave Nw, Albuquerque, NM 87110 2020-05-26
1649829318 Robert D. Oliver Technician 2705 Texas Street Ne, Albuquerque, NM 87110 2019-09-05
1033770904 Life Re-created LLC Counselor 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 2019-06-21
1497319693 Clear Choice Vision Care, LLC Optometrist 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 2019-04-24
1790257558 Diana M Nicolas Dietitian, Registered 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 2018-12-18
1689168403 Robin N Hermes, Md, PC Anesthesiology 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 2018-06-15
1710481726 Desert Mountain Eyecare LLC Optometrist 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 2018-03-23
1659873131 Amanda Lacasse Registered Nurse 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 2018-03-01
1518485655 Danielle Liegh Wyne Counselor 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 2017-09-08
1265957237 Myrrhine Faller Speech-Language Pathologist 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 2017-08-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1558969253 Beverly Carter Nurse Practitioner 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 2020-10-14
1932706223 Rozita Dayani Nurse Practitioner 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 2020-10-08
1730795626 Jia Wu Nurse Practitioner 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 2020-09-17
1912513870 Ariel A Nunez Nurse Practitioner 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 2020-09-16
1326652173 Matthew S Fogel Nurse Practitioner 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 2020-08-31
1467065532 Amberleigh Morrish Nurse Practitioner 2100 George Rd Se # 19012, Albuquerque, NM 87106-5608 2020-08-28
1457962102 Roxanne Christian Nurse Practitioner 1909 Brookhaven Pl Nw, Albuquerque, NM 87120-8006 2020-08-14
1689298879 Marissa Jenee Simpson Nurse Practitioner 4839 Stafford Pl Nw, Albuquerque, NM 87120-3232 2020-06-03
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Competitor

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City ALBUQUERQUE
Zip Code 87110

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Dataset Information

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.

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