Provider Demographics
NPI:1780759126
Name:SAIZ, GLORIA (NP)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:SAIZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:8605 TIMBERIDGE PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-6217
Mailing Address - Country:US
Mailing Address - Phone:505-440-5852
Mailing Address - Fax:
Practice Address - Street 1:10400 ACADEMY RD NE
Practice Address - Street 2:340
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-1229
Practice Address - Country:US
Practice Address - Phone:505-298-1558
Practice Address - Fax:505-298-7012
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMR35692363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMR35692OtherNURSE PRACTITIONER