NPI 1023762333 · live from the CMS NPI Registry
Paige Loreen Andre-Hudson
Social Worker, Clinical in Kirtland Afb, NM. National Provider Identifier 1023762333, active.
NPI record
| NPI | 1023762333 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2050a 2nd St Se, Kirtland Afb, NM 87117 |
| Practice phone | 505-846-3200 |
| Mailing address | 80 Desert Willow Rd, Corrales, NM 87048 |
| Enumerated | February 5, 2022 |
| Last updated | November 2, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | C-12018 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.