Provider Demographics
NPI:1215673025
Name:LUJAN, ALMA ALICIA (CNP)
Entity type:Individual
Prefix:MRS
First Name:ALMA
Middle Name:ALICIA
Last Name:LUJAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ALMA
Other - Middle Name:ALICIA
Other - Last Name:RODRIGUEZ-FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3630 LAS ESTANCIAS DR SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-5504
Mailing Address - Country:US
Mailing Address - Phone:505-462-7777
Mailing Address - Fax:
Practice Address - Street 1:3630 LAS ESTANCIAS DR SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-5504
Practice Address - Country:US
Practice Address - Phone:505-462-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-05
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM67926363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily