Provider Demographics
NPI:1073536959
Name:VAN SCIVER, PATRICIA (CFP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:VAN SCIVER
Suffix:
Gender:F
Credentials:CFP
Other - Prefix:
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:VAN SCIVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 26028
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-6028
Mailing Address - Country:US
Mailing Address - Phone:505-232-1617
Mailing Address - Fax:505-262-7729
Practice Address - Street 1:5150 JOURNAL CENTER BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-5900
Practice Address - Country:US
Practice Address - Phone:505-262-7223
Practice Address - Fax:505-262-7450
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP00305363LF0000X
NMCNP000305363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM00098794Medicaid
NMNM006783OtherBCBS
S63271Medicare UPIN
NM34K607467Medicare PIN