Provider Demographics
NPI:1154177061
Name:PIZER, JASMIN HARE
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:HARE
Last Name:PIZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-2237
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-2237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program