Provider Demographics
NPI:1326920620
Name:GRIEGO, ALIESHA MARIE (CNP)
Entity type:Individual
Prefix:
First Name:ALIESHA
Middle Name:MARIE
Last Name:GRIEGO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ALIESHA
Other - Middle Name:MARIE
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7405 WOODAL ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3953
Mailing Address - Country:US
Mailing Address - Phone:505-908-0804
Mailing Address - Fax:
Practice Address - Street 1:3825 EUBANK BLVD NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3590
Practice Address - Country:US
Practice Address - Phone:505-908-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM85179363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner