| Nexumhc Nm | |
| 1209 Mountain Road Pl Ne Albuquerque NM 87110-7845 | |
| (773) 887-6150 | |
| Not Available | 
| Full Name | Nexumhc Nm | 
|---|---|
| Speciality | Psychologist | 
| Location | 1209 Mountain Road Pl Ne, Albuquerque, New Mexico | 
| Authorized Official Name and Position | Aron Moore (CEO) | 
| Authorized Official Contact | 7738876150 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nexumhc Nm 6134 N Bernard St Chicago IL 60659-2212 Ph: () - | Nexumhc Nm 1209 Mountain Road Pl Ne Albuquerque NM 87110-7845 Ph: (773) 887-6150 | 
| NPI Number | 1629894241 | 
|---|---|
| Provider Enumeration Date | 11/27/2024 | 
| Last Update Date | 11/27/2024 | 
| Certification Date | 11/27/2024 | 
| Medicare PECOS PAC ID | 2567990047 | 
|---|---|
| Medicare Enrollment ID | O20250111000106 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629894241 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary | 
| Provider Name | Shawna Brough | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1811547342 PECOS PAC ID: 6507203585 Enrollment ID: I20250111000113 | 
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