NPI 1255773404 · live from the CMS NPI Registry
Atrinea Ruidoso LLC
Family Medicine in Ruidoso, NM. National Provider Identifier 1255773404, active.
NPI record
| NPI | 1255773404 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1401 Sudderth Dr, Ruidoso, NM 88345 |
| Practice phone | 505-338-3851 |
| Mailing address | 7601 Jefferson St Ne, 340, Albuquerque, NM 87109 |
| Enumerated | July 29, 2013 |
| Last updated | August 6, 2013 |
| Authorized official | Christopher Elliott, Billing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.