NPI 1124254586 · live from the CMS NPI Registry
Cheri A Blacksten, MD
Family Medicine in Albuquerque, NM. National Provider Identifier 1124254586, active.
NPI record
| NPI | 1124254586 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 8202 Louisiana Blvd Ne, Suite A, Albuquerque, NM 87113 |
| Practice phone | 505-554-2409 |
| Mailing address | Po Box 10777, Albuquerque, NM 87184 |
| Enumerated | May 29, 2009 |
| Last updated | December 27, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pathology, Anatomic Pathology | 207ZP0101X | 27076 (OK) |
| Family Medicine primary | 207Q00000X | MD2013-0554 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.