| Nizzlefox LLC | |
|
1209 Mountain Road Pl Ne Ste N Albuquerque NM 87110-7825 | |
| (406) 309-6462 | |
| Not Available |
| Full Name | Nizzlefox LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1209 Mountain Road Pl Ne Ste N, Albuquerque, New Mexico |
| Authorized Official Name and Position | Cheryl Jasewicz (OWNER) |
| Authorized Official Contact | 4063096462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nizzlefox LLC 1209 Mountain Road Pl Ne Ste N Albuquerque NM 87110-7825 Ph: (406) 309-6462 | Nizzlefox LLC 1209 Mountain Road Pl Ne Ste N Albuquerque NM 87110-7825 Ph: (406) 309-6462 |
| NPI Number | 1720900889 |
|---|---|
| Provider Enumeration Date | 07/29/2026 |
| Last Update Date | 07/29/2026 |
| Certification Date | 07/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720900889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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