Provider Demographics
NPI:1245225218
Name:VIENUP, NANCY SPIHER (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:SPIHER
Last Name:VIENUP
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 HERMOSA DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7708
Mailing Address - Country:US
Mailing Address - Phone:505-259-6825
Mailing Address - Fax:
Practice Address - Street 1:8910 HOLLY AVE NE
Practice Address - Street 2:PHARMACA INTEGRATIVE PHARMACY
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87122-2947
Practice Address - Country:US
Practice Address - Phone:505-796-0391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00006442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist