NPI 1639499601 · live from the CMS NPI Registry
Elena Dare Bissell, M.D
Family Medicine in Albuquerque, NM. National Provider Identifier 1639499601, active.
NPI record
| NPI | 1639499601 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 8200 Central Ave Se, Albuquerque, NM 87108 |
| Practice phone | 505-272-5885 |
| Mailing address | 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106 |
| Enumerated | June 1, 2010 |
| Last updated | January 13, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — (NM) |
| Family Medicine primary | 207Q00000X | MD2012-0693 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.