Provider Demographics
NPI:1043545791
Name:ALPERN, SAMARA BRILL (RD)
Entity Type:Individual
Prefix:MS
First Name:SAMARA
Middle Name:BRILL
Last Name:ALPERN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:717 ENCINO PL NE
Mailing Address - Street 2:SUITE 28
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2611
Mailing Address - Country:US
Mailing Address - Phone:505-338-4800
Mailing Address - Fax:505-338-4808
Practice Address - Street 1:717 ENCINO PL NE
Practice Address - Street 2:SUITE 28
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2611
Practice Address - Country:US
Practice Address - Phone:505-338-4800
Practice Address - Fax:505-338-4808
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered