Provider Demographics
NPI:1023387610
Name:POLLOCK, JANET MARIE (RN B-C)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:RN B-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 MARBLE NE
Mailing Address - Street 2:SENIOR CLINIC
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131
Mailing Address - Country:US
Mailing Address - Phone:505-925-4106
Mailing Address - Fax:505-272-4743
Practice Address - Street 1:UNM PSYCHIATRIC CTR
Practice Address - Street 2:2600 MARBLE NE
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-925-4106
Practice Address - Fax:505-272-4743
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR60792163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMR60792OtherBOARD OF NURSING