Mimi Martine Peters Rosen, is a
Student In An Organized Health Care Education/training Program based in Albuquerque, New Mexico. Mimi Martine Peters Rosen is licensed to practice in New Mexico (license number ) and her current practice location is
3908 Carlisle Blvd Ne, Albuquerque, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 639-5916.
NPI number for Mimi Martine Peters Rosen is 1942096078 and her current mailing address is 3908 Carlisle Blvd Ne, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942096078.
Healthcare Provider's Profile
Full Name | Mimi Martine Peters Rosen |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 3908 Carlisle Blvd Ne, Albuquerque, New Mexico |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942096078
- Provider Enumeration Date: 04/16/2025
- Last Update Date: 04/16/2025
Medical Identifiers
Medical identifiers for Mimi Martine Peters Rosen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942096078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | (New Mexico) | Secondary |
171M00000X | Case Manager/care Coordinator | (New Mexico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mimi Martine Peters Rosen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mimi Martine Peters Rosen, 3908 Carlisle Blvd Ne, Albuquerque, NM 87107-4504 Ph: () - | Mimi Martine Peters Rosen, 3908 Carlisle Blvd Ne, Albuquerque, NM 87107-4504 Ph: (505) 639-5916 |
Reviews and Comments