Provider Demographics
NPI:1316031115
Name:FLEMING, JAMES F (CNP)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:FLEMING
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:933 BRADBURY DR. SE
Mailing Address - Street 2:SUITE 2222
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4375
Mailing Address - Country:US
Mailing Address - Phone:505-527-3120
Mailing Address - Fax:505-272-8060
Practice Address - Street 1:1101 MEDICAL ARTS AVE NE, BUILDING 4, SUITE A
Practice Address - Street 2:UNM LOBO CARE
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102
Practice Address - Country:US
Practice Address - Phone:505-272-3935
Practice Address - Fax:505-951-4006
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMCNP00933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM85275387Medicaid
Q16233Medicare UPIN
343418200Medicare PIN