| The Wellness Company | |
|
6300 San Mateo Blvd Ne Ste F2 Albuquerque NM 87109-3536 | |
| (505) 818-1930 | |
| (505) 336-5399 |
| Full Name | The Wellness Company |
|---|---|
| Speciality | Family Medicine |
| Location | 6300 San Mateo Blvd Ne Ste F2, Albuquerque, New Mexico |
| Authorized Official Name and Position | Mark Anthony Cerna (PRESIDENT) |
| Authorized Official Contact | 5058181930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Company 6300 San Mateo Blvd Ne Ste F2 Albuquerque NM 87109-3536 Ph: (505) 818-1930 | The Wellness Company 6300 San Mateo Blvd Ne Ste F2 Albuquerque NM 87109-3536 Ph: (505) 818-1930 |
| NPI Number | 1124891650 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Medicare PECOS PAC ID | 3375992860 |
|---|---|
| Medicare Enrollment ID | O20231208002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124891650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Krystal Pearl Casias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346974920 PECOS PAC ID: 8325412323 Enrollment ID: I20230501001491 |
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