NPI 1811093073 · live from the CMS NPI Registry
Michelle Bardack
Family Medicine in Albuquerque, NM. National Provider Identifier 1811093073, active.
NPI record
| NPI | 1811093073 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2400 Tucker Ave Ne, Albuquerque, NM 87131 |
| Practice phone | 505-272-1734 |
| Mailing address | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106 |
| Enumerated | September 15, 2006 |
| Last updated | March 22, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | MD20060797 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.